| Religion | Presbyterian |
| Occupation | Nurse |
| Address | Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, J S Douglas, 114 Errard Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Staff Nurse |
| Unit name | Sea Transport Staff Sections 7-8 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
