| Regimental number | 16257 |
| Place of birth | Liverpool New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Sydney, NSW |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, George Douglass, 'Inverleigh', Castle Hill, New South Wales |
| Enlistment date | 3 October 1916 |
| Date of enlistment from Nominal Roll | 11 September 1915 |
| Rank on enlistment | Driver |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia 15 June 1919 |
