| Regimental number | 6611 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Engineer |
| Address | 86 Edgecliffe Road, Woollahra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs H Douglas, 86 Edgecliffe Road, Woollahra, New South Wales |
| Enlistment date | 30 September 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 6 July 1919 |
