| Regimental number | 7127 |
| Place of birth | Camperdown Victoria |
| Religion | Church of England |
| Occupation | Printer |
| Address | Surrey Avenue, Surrey Hills, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Johnson, Surrey Avenue, Surrey Hills, Victoria |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 20 December 1917 |
