| Regimental number | 2015 |
| Place of birth | Glenferrie Victoria |
| Religion | Baptist |
| Occupation | Warehouseman |
| Address | 17 Railway Parade, Camberwell, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Alice Wain, 17 Railway Parade, Camberwell, Victoria |
| Enlistment date | 2 March 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 8 January 1919 |
