| Regimental number | 18953 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E M Johnsen, 25 Harley Street, Perth, Western Australia |
| Enlistment date | 29 January 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A55 Kyarra on 17 September 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Light Horse Field Ambulance |
| Fate | Returned to Australia 20 July 1919 |
| Date of death | 20 July 1959 |
| Place of burial | Karrakatta Cemetery |
