| Regimental number | 2638 |
| Place of birth | Rotarua, New Zealand |
| Religion | Church of England |
| Occupation | Well borer |
| Address | Railway Hotel, Cunnamulla, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Amy Douglas, 414 Jones Street, Ultimo, Sydney, New South Wales |
| Enlistment date | |
| Place of enlistment | Enoggera, Queensland |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, C Company |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5thl H |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
