| Regimental number | 4213 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Uncle, T Johnson, 54 Harper Road, Plaistow London, England |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 21 December 1917 |