| Regimental number | 10278 |
| Occupation | Clerk |
| Next of kin | Mother, Mrs Mary Helen Douglas, Glenbervie, Whangarei |
| Rank on embarkation | Quartermaster Sergeant |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (2nd Draft), Wellington Infantry Battalion, J Company |
| Embarkation details | Unit embarked from Wellington on board Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 7 |