| Regimental number | 15930 |
| Place of birth | Terrington England |
| Religion | Methodist |
| Occupation | Mission worker |
| Address | Petersburg, South Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Brother, W Johnson, Ferrington Street, Clements, Norfolk, England |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Discharged 13 May 1919 |
