| Regimental number | 3417 |
| Place of birth | Rookwood New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Annie Johns, Dixon Street, Newtown, New South Wales |
| Enlistment date | 3 January 1917 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 23 May 1917 |