| Regimental number | 2958 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Gardener |
| Address | 30 Campbell Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Annie Johnson, 30 Campbell Street, Sydney, New South Wales |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 19 October 1917 |
| Date of death | 29 April 1959 |
| Place of burial | Rookwood Necropolis |
