| Regimental number | 2868 |
| Place of birth | Clunes, Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Portland, Mudgee line, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Margaret Douglas, Portland, Mudgee Line, New South Wales |
| Enlistment date | 5 October 1915 |
| Date of enlistment from Nominal Roll | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Malwa on 22 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 14 March 1919 |
| Other details | Medals: British War Medal, Victory Medal |
