| Regimental number | 910 |
| Place of birth | Newcastle England |
| Religion | Methodist |
| Occupation | Bedstead maker |
| Address | 94 Russell Street, Rozelle, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Uncle, A Johnson, 94 Russell Street, Rozelle, Sydney, New South Wales |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, D Company |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 27 September 1917 |