| Regimental number | 51773 |
| Place of birth | Port Pirie, South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, J Brine, Broad Creek, Port Pirie, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | South Australian Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Division Headquarters |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
