| Regimental number | 4343 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Naval staff clerk |
| Address | 'Waterford', Minter Street, Canterbury, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Sarah Elizabeth Boutcher, 'Waterford', Minter Street, Canterbury, New South Wales |
| Enlistment date | 27 April 1915 |
| Date of enlistment from Nominal Roll | 23 April 1915 |
| Rank on enlistment | LSGT |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 28 March 1919 |
