| Regimental number | 1969 |
| Religion | Baptist |
| Occupation | Blacksmith's help |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs R E Johannesen, 33 Brunswick Street, Fitzroy, Victoria |
| Enlistment date | 13 March 1917 |
| Rank on enlistment | Private |
| Unit name | Railway Unit, Section 5 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Australian Railway Operating Company |
| Fate | Returned to Australia 1 July 1919 |