| Regimental number | 13592 |
| Place of birth | Caboolture Queensland |
| Religion | Methodist |
| Occupation | Wheelwright's apprentice |
| Address | Caboolture, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, E Boutsed, Caboolture, Queensland |
| Enlistment date | 28 August 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 10 January 1918 |
| Date of death | 5 May 1954 |
| Place of burial | Mt Thompson Crematorium |
