| Regimental number | 6331 |
| Place of birth | Cunnamulla Queensland |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Cunnamulla, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, F Pain, Cunnamulla, Queensland |
| Enlistment date | 9 November 1916 |
| Date of enlistment from Nominal Roll | 9 November 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 10 April 1919 |