| Regimental number | 5821 |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Coolangatta, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Charlotte Bolton, Coolangatta, Queensland |
| Enlistment date | 8 July 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 21 December 1917 |
