| Regimental number | 191 |
| Place of birth | Bairnsdale Victoria |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Willow Grove via Moe, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | A H Johnson, Willow Grove via Moe, Victoria |
| Enlistment date | 26 January 1915 |
| Date of enlistment from Nominal Roll | 21 January 1915 |
| Rank on enlistment | Corporal |
| Unit name | 21st Battalion, A Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 1 July 1916 |
