| Regimental number | 18049 |
| Place of birth | Lancashire England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | South Kolan, via Bundaberg, Queensland |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs F G Johnson, c/o Mrs Pankhurst, Sherwood Road, Toowong, Queensland |
| Enlistment date | 7 April 1916 |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 12 May 1918 |