| Occupation | Dentist |
| Address | North Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs M Douglass, 16 Andrew Street, North Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | HON LT |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette' No. 3138 (5 June 1919); 'Commonwealth Gazette' No. 113 (6 October 1919). |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |