| Regimental number | 3797 |
| Religion | Protestant |
| Occupation | Miner |
| Address | Mulculca, near Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs Eliza Hannah Douglas, 75 Magill Road, Stepney, South Australia |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 7 February 1916 |
| Regimental number from Nominal Roll | 3798 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 31 January 1918 |