| Regimental number | 2191 |
| Place of birth | Ballina New South Wales |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | c/o Pilot Station, Ballina, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Johnson, Pilot Station, Ballina, New South Wales |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Effective abroad (still overseas) |
