| Regimental number | 30704 |
| Place of birth | Kent Town, South Australia |
| 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, 6 Gray Street, Adelaide, South Australia |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | 23rd Howitzer Brigade, 8th Reinforcement |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Field Bakery |
| Fate | Returned to Australia 17 March 1919 |