| Regimental number | 4064 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Hairdresser |
| Address | Apollo Bay P O, Apollo Bay, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Elizabeth Johnson, Apollo Bay P O, Apollo Bay, Victoria |
| Enlistment date | 7 September 1916 |
| Date of enlistment from Nominal Roll | 20 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 23 June 1919 |
