| Regimental number | 13798 |
| Place of birth | Waverley New South Wales |
| Religion | Church of England |
| Occupation | Shop walker |
| Address | Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, A Johnson, 'Mostyn', 13 Busby Parade, Waverley, New South Wales |
| Enlistment date | 30 November 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 12 July 1919 |