| Religion | Church of England |
| Occupation | Relieving railway officer |
| Address | Queenstown, Tasmania |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Archibald Douglas, Queenstown, Tasmania |
| Enlistment date | 1 October 1914 |
| Rank on enlistment | Lieutenant |
| Unit name | 21st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
