| Regimental number | 6148 |
| Place of birth | Grafton New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Dellwood, Leichhardt Street, Glebe Point, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs B V Johnson, 30 Little Riley Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 28 June 1916 |
| Date of enlistment from Nominal Roll | 1 October 1914 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 1 November 1917 |