| Regimental number | 15563 |
| Place of birth | Nylans Denmark |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | Tea Gardens, Port Stevens, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Barney Doherty, Tea Gardens, Port Stevens, New South Wales |
| Enlistment date | 27 August 1915 |
| Date of enlistment from Nominal Roll | 10 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 16 |
| AWM Embarkation Roll number | 13/29/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 8 April 1917 |
| Miscellaneous details (Nominal Roll) | *Johan spelt John |
