| Regimental number | 28781 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Bathurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs S Johnston, Mimi Street, Oately, New South Wales |
| Enlistment date | 18 April 1916 |
| Date of enlistment from Nominal Roll | 26 April 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 1 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 14 September 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Medium Trench Mortar Battery |
| Fate | Returned to Australia 8 April 1917 |
