| Regimental number | 19479 |
| Place of birth | Southport Queensland |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Southport, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Emily Louisa Wain, Nerang Street, Southport, Queensland |
| Previous military service | 9th Infantry |
| Enlistment date | 22 January 1917 |
| Rank on enlistment | Sapper |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Effective abroad (still overseas) |