| Regimental number | 1767 |
| Place of birth | Werris Creek New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 6 The Avenue, Petersham, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Richard Johnsen, The Avenue, Petersham, Sydney, New South Wales |
| Enlistment date | 14 January 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 10 April 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |