| Regimental number | 19641 |
| Place of birth | Balmoral, Victoria |
| Religion | Presbyterian |
| Occupation | Engine driver |
| Address | Coleraine, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, Richard Douglas, Highfield, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
