| Regimental number | 37804 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Jackeroo |
| Address | Hill Street, Newtown, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, William Norris McDougall, 'Kyogle', Hill Street, Newtown, Toowoomba, Queensland |
| Enlistment date | 29 January 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 31 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 5 November 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Heavy Trench Mortar Battery |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | No date of return entered on Nominal Roll. |