| Regimental number | 377 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Ann Street, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, George David Johnson, bootmaker, Eagle Farm Road, Hamilton, Brisbane, Queensland |
| Enlistment date | 17 April 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 5 |
| AWM Embarkation Roll number | 24/17/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 19 September 1916 |
| Regimental number from Nominal Roll | 377A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Machine Gun Company |
| Fate | Returned to Australia 27 August 1917 |
