| Regimental number | 10057 |
| Place of birth | Ballarat, Victoria |
| Religion | Roman Catholic |
| Occupation | Policeman |
| Address | Police Station, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, John Douglas, East Warwick, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | 7th Field Ambulance, 11th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Queensland Garden of Remembrance |
| Date of death | |
| Place of burial | Toowoomba Cemetery |