| Regimental number | 5977 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Mentone, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E J Douglas, Brindisi Street, Mentone, Victoria |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, December 1916 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 24 December 1918 |