| Regimental number | 3103 |
| Place of birth | Temora New South Wales |
| Religion | Church of England |
| Occupation | Team packer |
| Address | Young, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs N Paine, Temora Road, Young, New South Wales |
| Enlistment date | 15 July 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 6 September 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 20 June 1919 |
