| Regimental number | 5122 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Grocer |
| Address | C/o N.E. Johnson, Rosedale, Pyalla Street, Northbridge, Sydney North, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. M. Cusack, C/o Mrs. N.F. Johnson, Pyalla Street, Northbridge, North Sydney, New South Wales |
| Enlistment date | 26 September 1915 |
| Date of enlistment from Nominal Roll | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 31 July 1918 |
