| Regimental number | 28569 |
| Place of birth | Gladstone South Australia |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Baroota, via Port Germain, South Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs I E McDougall, Port Germain, South Australia |
| Enlistment date | 17 April 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 6, Reinforcement 10 |
| AWM Embarkation Roll number | 13/34/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Motor Transport Company |
| Fate | Returned to Australia 7 February 1919 |
