| Regimental number | 25979 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Overseer and bookkeeper |
| Address | Wanda Road, Caulfield, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs A P Douglas, 'Stranraer', Wanda Road, Caulfield, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 3, Reinforcement 2 |
| AWM Embarkation Roll number | 25/91/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
