| Regimental number | 258 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Barr Street, Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Rose Douglas, Salisbury Road, Unley, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, A Company |
| AWM Embarkation Roll number | 23/54/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
