| Regimental number | 4040 |
| Place of birth | Maclean New South Wales |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Campbell Street, Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, A McDougall, Dunolly, Weston Street, Harris Park, Sydney, New South Wales |
| Enlistment date | 11 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Effective abroad (still overseas) |
