| Regimental number | 3781 |
| Date of birth | |
| Place of birth | Braidwood New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mcquorit Street, Queanbeyan, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Margaret Johnson, Wallace Street, Braidwood, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 35th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Photo: Kent Fedorowich |
| Date of death | |
| Place of burial | Yass Cemetery, New South Wales |