| Regimental number | 2107 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 3 Derby Street, Camperdown, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs. G. Bolton, 3 Derby Street, Camperdown, Sydney, New South Wales |
| Enlistment date | 25 April 1915 |
| Date of enlistment from Nominal Roll | 4 May 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 14 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 11 December 1918 |
