| Regimental number | 52970 |
| Occupation | Farm hand |
| Next of kin | Mother, Mrs M A Douglas, Mangatera, Dannevirke |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (First Draft), F Company (Part) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 86 Maunganui on |
| Final rank | Rifleman |
| Final unit | 2nd Battalion, New Zealand Rifle Brigade |
| Fate | Died of wounds |
| Age at death from cemetery records | 32 |
| Place of burial | Caudry British Cemetery (Plot I, Row B, Grave No 11), France |
| Miscellaneous information from cemetery records | Mother: Mrs Miriam A. Douglas, 178 Waihi Road, Hawera |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 26 |