| Regimental number | 2883 |
| Place of birth | Middlesex England |
| Religion | Congregational |
| Occupation | Carpenter |
| Address | Cottesloe, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs M K Johnson, Forrest Street, Cottesloe, Western Australia |
| Enlistment date | 5 June 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 6 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on 30 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 27 July 1917 |
