| Regimental number | 6012 |
| Place of birth | Geelong, Victoria |
| Religion | Methodist |
| Occupation | Driver |
| Address | 1 Saffron Street, Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 18 |
| Next of kin | Wife, Mrs E B Douglass, 1 Saffron Street, Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Other details from Roll of Honour Circular | "Enlisted 18th April, 1916 and was posted to 14th Battalion, 10th Reinforcements. Taken on Strength, 14th Battalion, 26th December, 1916. Mortally wounded 11th April, 1917." Details from Widow. |
| Fate | Died of wounds |
| Place of death or wounding | Bullecourt, France |
| Age at death | 19 |
| Place of burial | Achiet-Le-Grand Communal Cemetery Extension (Plot I, Row B, Grave No. 15), France |
| Panel number, Roll of Honour, Australian War Memorial | 72 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |