| Regimental number | 1966 |
| Place of birth | Forbes New South Wales |
| Religion | Methodist |
| Occupation | Motor driver |
| Address | Templar Street, Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Willemina Catherine Johnson, Templar Street, Forbes, New South Wales |
| Enlistment date | 12 January 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 20 October 1915 |
