| Regimental number | 30704 |
| Religion | Church of England |
| Occupation | Baker |
| Address | 6 Gray Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs F M Douglas, 42 Hector Street, St Leonard's, Glenelg, South Australia |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Reinforcement 8 |
| AWM Embarkation Roll number | 13/133/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Miscellaneous details (Nominal Roll) | see other |
