| Regimental number | 3000 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Howick Street, Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, Herbert Edric Johnson, Howick Street, Bathurst, New South Wales |
| Enlistment date | 9 October 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 10 April 1919 |
