| Regimental number | 16256 |
| Place of birth | Denhamcourt New South Wales |
| Religion | Church of England |
| Occupation | Chainman |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Edith Helena Douglass, 'Holmswood', Percival Road, Smithfield, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| 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 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
