| Regimental number | 34997 |
| Place of birth | Moonee Ponds, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 45 North Street, Ascot Vale, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Thomas Douglas, 45 North Street, Ascot Vale, Victoria |
| Enlistment date | 18 January 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 27 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 1 April 1919 |