| Regimental number | 10632 |
| Place of birth | Sandon Victoria |
| Religion | Methodist |
| Occupation | Electrical mechanic |
| Address | 'Sandon', Mimosa Road, Caulfield, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Ms Mary Ellen Johansen, 'Sandon', Mimosa Road, Caulfield, Victoria |
| Enlistment date | 12 February 1916 |
| Rank on enlistment | 2nd Corporal |
| Unit name | Divisional Signal Company 3 |
| AWM Embarkation Roll number | 22/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 25 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 11 May 1919 |
