| Regimental number | 3526 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Dromedary, Tasmania |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A Douglas, Dromedary, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |