| Regimental number | 52276 |
| Place of birth | Deloraine, Tasmania |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Sandy Bay, Tasmania |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A S Douglas, High Street, Sandy Bay, Tasmania |
| Enlistment date | 1 February 1918 |
| Date of enlistment from Nominal Roll | 13 December 1917 |
| Rank on enlistment | Private |
| Unit name | 1 to 3 (WA) and (TAS) Reinforcements (May-Oct 1918) |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMATA14 Euripides on 1 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 20 March 1919 |