| Regimental number | 4370 |
| Religion | Methodist |
| Occupation | School teacher |
| Address | Boggabri, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, T M Domaille, Gamblin, The Vale, Guernsey, Channel Isle |
| Enlistment date | 13 April 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
