| Regimental number | 2212 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Grocer |
| Address | 44 Gladstone Street, Mount Pleasant, Ballarat E, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Thomas Paine, 44 Gladstone Street, Mount Pleasant, Ballarat E, Victoria |
| Enlistment date | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 24 December 1918 |
