| Regimental number | 19046 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Eastwood, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, F Johnson, Vimiera Road, Eastwood, New South Wales |
| Enlistment date | 24 June 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A72 Beltana on 19 January 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 1 August 1919 |
