| Regimental number | 59313 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Electric mechanic |
| Address | Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, G Douglas, Railway Parade, Kogarah, New South Wales |
| Enlistment date | 8 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
