| Regimental number | 5696 |
| Place of birth | Ingham Queensland |
| Religion | Church of England |
| Occupation | Farm selector |
| Address | The Grange, Ingham, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J E G Johnson, The Grange, Ingham, Queensland |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
