| Regimental number | 3171 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Mary Ann Johnson, Auburn Street, Goulburn, New South Wales |
| Enlistment date | 11 November 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
