| Regimental number | 69253 |
| Place of birth | Shepparton, Victoria |
| Religion | Presbyterian |
| Occupation | Motor mechanic |
| Address | Shepparton, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J Douglas, 7 Ashenden Street, Shepparton, Victoria |
| Previous military service | 2nd Battalion 57th Infantry |
| Enlistment date | 24 June 1918 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
