| Regimental number | 4649 |
| Place of birth | Creswick Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Lambert Street, Ararat, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Ellen Ann Johnson, Lambert Street, Ararat, Victoria |
| Enlistment date | 4 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 17 March 1919 |
