| Regimental number | 26910 |
| Place of birth | Bulls Creek South Australia |
| Religion | Church of England |
| Occupation | Customs clerk |
| Address | James Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Miss J M Johnson, c/o Miss N Forester, Kither Buildings, King William Street, Adelaide, South Australia |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 6, Reinforcement 8 |
| AWM Embarkation Roll number | 13/34/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 1 November 1917 |
