| Regimental number | 7679 |
| Date of birth | 1 September 1879 |
| Place of birth | Kew, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Woodside Farm, Woodend, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, Cornelius Johnson, Woodside Farm, Woodend, Victoria |
| Enlistment date | 17 May 1915 |
| Date of enlistment from Nominal Roll | 17 March 1915 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 2 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Auxiliary Hospital |
| Fate | Returned to Australia 17 March 1917 |
