| Regimental number | 10630 |
| Place of birth | Orange New South Wales |
| Religion | Methodist |
| Occupation | Driver, fire brigade |
| Address | Longview Street, Five Dock, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs A P Johns, c/o Mrs S Tucker, Mannum, South Australia |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Driver |
| Unit name | 3rd Divisional Train, 24 Company Army Service Corps |
| AWM Embarkation Roll number | 25/16/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 30 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 11 December 1918 |