| Regimental number | 2646 |
| Place of birth | Bugbrook England |
| Religion | Protestant |
| Occupation | Bricklayer |
| Address | Grange Estate, Newmarket near Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Mabel Johnson, Grange Estate, Newmarket near Brisbane, Queensland |
| Enlistment date | 5 May 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 19 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 26/--/1917 |
| Miscellaneous details (Nominal Roll) | Date of Fate unclear on Nominal Roll. |
