| Regimental number | 866 |
| Place of birth | Southern Cross, Western Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | 247 Bulwer Street, N Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Annie Douglas, 247 Bulwer Street, N, Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
