| Regimental number | 4997 |
| Place of birth | Bombala New South Wales |
| Religion | Presbyterian |
| Occupation | Constable |
| Address | 25 Berry Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs M Johnson, 25 Berry Street, North Sydney, New South Wales |
| Enlistment date | 27 January 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Casualty Clearing Station |
| Fate | Returned to Australia 1 February 1918 |
