| Regimental number | 6853 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Steward |
| Address | 8 Park Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Johnson, 8 Park Street, South Melbourne, Victoria |
| Enlistment date | 14 August 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 2 January 1919 |
