| Regimental number | 28437 |
| Place of birth | Yorkshire England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Katanning, Western Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs E I Johnson, Carew Street, Katanning, Western Australia |
| Enlistment date | 24 April 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 21 |
| AWM Embarkation Roll number | 25/89/3 |
| 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 | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 21 March 1919 |
