| Regimental number | 36649 |
| Place of birth | Allora Queensland |
| Religion | Church of England |
| Occupation | Medical student |
| Address | c/o Dr F Pain, Allora, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Francis Pain, Allora, Queensland |
| Enlistment date | 17 March 1917 |
| Date of enlistment from Nominal Roll | 7 March 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 29 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 5 November 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 7 July 1919 |
