| Regimental number | 876 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Care or C C Johnson, Newnham, Baldock, Herts, England |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | C C Johnson, Newnham, Baldock, Herts, England |
| Enlistment date | 24 December 1914 |
| Date of enlistment from Nominal Roll | 18 March 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A15 Star of England on 8 April 1915 |
| Embarkation details | Unit embarked from |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 25 July 1918 |
