| Regimental number | 6803 |
| Religion | Church of England |
| Occupation | Bricklayer and bicycle mechanic |
| Address | Conard Street, Richmond, New South Wales |
| Marital status | Divorced |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Douglass, West Market Street, Richmond, New South Wales |
| Enlistment date | 4 July 1916 |
| Date of enlistment from Nominal Roll | 27 June 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | mg Corps |
| Fate | Returned to Australia 12 March 1916 |
| Miscellaneous details (Nominal Roll) | *Spelt William D/Arcy Douglass on NR |