| Regimental number | 1237 |
| Place of birth | Penrith New South Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 34 Venn Street, North Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M J Raine, 48 Brougham Street, Penrith, Cumberland, England |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, D Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Returned to Australia 26 July 1919 |
