| Regimental number | 1378 |
| Place of birth | Townsville Queensland |
| Religion | Church of England |
| Occupation | General storekeeper |
| Address | 9 Llewelyn Street, Marrickville, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Phoebe Clara Johnsen, Walford Street, Newtown, Sydney, New South Wales |
| Enlistment date | 11 January 1915 |
| Date of enlistment from Nominal Roll | 9 January 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, D Company |
| AWM Embarkation Roll number | 23/35/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A40 Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 4 December 1918 |
