| Regimental number | 3071 |
| Place of birth | Conelli Victoria |
| Religion | Church of England |
| Occupation | Woolcutter |
| Address | Pickering Brook, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs F E Johnson, Pickering Brook, Western Australia |
| Enlistment date | 25 June 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 September 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |