| Regimental number | 12101 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Hurstville, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs K Boreham, Belmore Road, Hurstville, New South Wales |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 9, Section B |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 20 October 1918 |
