| Regimental number | 6493 |
| Place of birth | Junee New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bethungra, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E M Douglas, Bethungra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Illabo Cemetery |