| Regimental number | 4579 |
| Religion | Church of England |
| Occupation | Brickmaker |
| Address | Dunoon Road, Lismorne, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Ann Johnson, Dunoon Road, Lismorne, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |