| Regimental number | 6380 |
| Place of birth | Barrow Furner England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | McMillan's Coffee Palace, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs B Douglas, Percy Mein, England |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Discharged 4 November 1919 |
