| Regimental number | 4035 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Wood machinist |
| Address | Mo, Mrs Rachael Romain, 54 Bristol Street, Bow, London, England |
| Marital status | Married |
| Next of kin | Mother, Mrs Ray Romain, Hackney, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |