| Regimental number | 3406 |
| Religion | Church of England |
| Occupation | Driver |
| Address | Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Elizabeth Johnson, 65 Station Street, Carlton, Victoria |
| Enlistment date | 3 March 1917 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/63/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |