| Regimental number | 16962 |
| Place of birth | Orange New South Wales |
| Religion | Presbyterian |
| Occupation | Survey draftsman |
| Address | Summer Street, Orange, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, James Douglas, Summer Street, Orange, New South Wales |
| Previous military service | 42nd Infantry |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia 6 September 1919 |