| Regimental number | 66511 |
| Place of birth | Maclean River New South Wales |
| Religion | Methodist |
| Occupation | Salesman |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A J Paine, 'Brundah', Ashley Street, Chatswood, Sydney, New South Wales |
| Previous military service | 2nd Bn 18th Infantry Regiment |
| Enlistment date | 8 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 21 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
