| Regimental number | 2166 |
| Place of birth | Pickering England |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | c/o Mr J Staff, Fig Tree PO, Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M J Johnson, Lockton, Yorkshire, Pickering, England |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 27 August 1917 |