| Regimental number | 6458 |
| Religion | Methodist |
| Occupation | Miner |
| Address | St Peters, South Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs C M Johnson, Aluna 7th Avenue, St Peters, South Australia |
| Enlistment date | 13 April 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 27 August 1917 |
