| Regimental number | 17419 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Painter |
| Address | 181 Edgecliffe Road, Woolahra, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Susie Lloyd Boulton, 181 Edgecliffe Road, Woolahra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | February 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Mcgillivray on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Woronora Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
