| Regimental number | 30223 |
| Place of birth | North Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Architect |
| Address | 123 Denison Street, Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Uncle, A L Douzans, 123 Denison Street, Newtown, New South Wales |
| Previous military service | 33rd Infantry |
| Enlistment date | 11 September 1916 |
| Date of enlistment from Nominal Roll | 28 August 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 11, Reinforcement 8 |
| AWM Embarkation Roll number | 13/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Motor Transport Company |
| Fate | Returned to Australia 20 May 1919 |
