| Regimental number | 1900 |
| Place of birth | Mount Gambier, South Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Mount Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Mary Jane Douglas, Commercial Street, Mount Gambier, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
