| Regimental number | 5321 |
| Place of birth | Leytonstone England |
| Religion | Church of England |
| Occupation | Secretary |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M Bolton, 61 Forest Road, Leytonshire, Essex, England |
| Enlistment date | 11 June 1915 |
| Rank on enlistment | Warrant Officer (Class I) |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A67 Orsova on 22 July 1915 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Returned to Australia 24 April 1918 |
