| Regimental number | 109 |
| Place of birth | Macrossan Queensland |
| Religion | Presbyterian |
| Occupation | Fireman |
| Address | Percy Street, East Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs P I Blain, Percy Street, East Warwick, Queensland |
| Enlistment date | 21 September 1914 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, A Company |
| AWM Embarkation Roll number | 23/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A40 Ceramic on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 16 October 1916 |
