| Regimental number | 1398 |
| Place of birth | Essex England |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | ..., George H Pain, Guildford, Western Australia |
| Enlistment date | 16 November 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on 22 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Effective abroad (still overseas) |
