| Regimental number | 1780 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Fitter |
| Address | 44 Barton Avenue, Haberfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs J A Johnson, 44 Barton Avenue, Haberfield, New South Wales |
| Enlistment date | 21 November 1916 |
| Date of enlistment from Nominal Roll | 1 December 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 5 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 30 January 1918 |