| Regimental number | 2936 |
| Place of birth | Warrnambool Victoria |
| Religion | Congregational |
| Occupation | Dentist |
| Address | Timor Street, Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Robert Forest Johnson, Timor Street, Warrnambool, Victoria |
| Enlistment date | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |