
| Regimental number | 3635 |
| Place of birth | Hawthorn |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Fire Station, Eastern Hill, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr. George William Douglas. Same address |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 2, Headquarters, Section 1 |
| AWM Embarkation Roll number | 22/12/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |