| Regimental number | 4258 |
| Place of birth | Grahamstown New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'Burnside', Grahamstown, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Sarah Jane Crain, 'Burnside', Grahamstown, New South Wales |
| Enlistment date | 26 May 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 10 June 1919 |
