| Regimental number | 6005 |
| Place of birth | Clones, Ireland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, P Douglas, County Monaghan, Ireland |
| Enlistment date | 24 December 1915 |
| Place of enlistment | Charters Towers, Queensland |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 8 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Sources | NAA: B2455, DOUGLAS Jack |
