| Regimental number | 28149 |
| Place of birth | Cobden Victoria |
| Religion | Methodist |
| Occupation | Butter maker |
| Address | Upper Street, Bega, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M C L Johnson, Kialla via Crookwell, New South Wales |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 11, Reinforcement 7 |
| AWM Embarkation Roll number | 13/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 4 June 1919 |