| Regimental number | 3037 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 90 Great Buckingham Street Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, E J Douglas, 90 Great Buckingham Street, Redfern, New South Wales |
| Enlistment date | 28 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |