
| Regimental number | 1867 |
| Place of birth | Warrnambool Victoria |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Sheffield, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Uncle, Thomas L Johnson, Sheffield, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Stated to be John Rollins on NR |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 76 Date: |