| Regimental number | 6874A |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs S E Johnson, 36 Campbell Street, Collingwood, Victoria |
| Enlistment date | 19 July 1917 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps School |
| Fate | Returned to Australia 23 July 1919 |
