| Regimental number | 14987 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Florence Eva Douzans, c/o Mrs Westheider, Belmore Road, Punchbowl, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |