| Regimental number | 1719 |
| Place of birth | Rockhampton Queensland |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Georgina Prain, William Street, Rockhampton, Queensland |
| Enlistment date | 25 November 1916 |
| Date of enlistment from Nominal Roll | 25 November 1915 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 23 July 1919 |
