| Regimental number | 510 |
| Place of birth | Rockhampton Queensland |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Bundaberg West, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Susan Raines, George Street, Bundaberg West, Queensland |
| Enlistment date | 22 February 1916 |
| Date of enlistment from Nominal Roll | 2 March 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, B Company |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 27 July 1917 |