| Regimental number | 5213 |
| Religion | Methodist |
| Occupation | Station hand |
| Address | Warrakoo, Cal Lal, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, W T Smith,Warrakoo, Cal Lal, New South Wales |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 7 July 1919 |
| Miscellaneous details (Nominal Roll) | *Given name Tom Bolton |
