| Regimental number | R2968 |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Hewton House, Millers Point, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Aunt, Miss M A Johnson, Hewton House, Millers Point, North Sydney, New South Wales |
| Enlistment date | 23 January 1915 |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 4th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
