| Regimental number | 17524 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | University student |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Fannie Rebecca Boucher, 'Rockley', Elizabeth Bay Road, Elizabeth Bay, New South Wales |
| Enlistment date | 4 April 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Cavalry Divisional Signal Squadron 1 |
| AWM Embarkation Roll number | 22/33/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st AUST WL Signal SD |
| Fate | Returned to Australia 22 March 1919 |
