| Regimental number | 3722 |
| Place of birth | SA |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Tickera via Kadina, South Australia |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Mrs E Johnson, Tickera via Kadina, South Australia |
| Enlistment date | 29 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT RMS Malwa on 2 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
