| Regimental number | 3684 |
| Place of birth | Glanville South Australia |
| Religion | Roman Catholic |
| Occupation | Millhand |
| Address | Glanville, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Jane Johnson, Deslandes Street, Glanville, South Australia |
| Enlistment date | 4 May 1917 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/67/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 12 July 1919 |
