| Regimental number | 1049 |
| Place of birth | Plymouth England |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Laitime PO, via Onehunga, New Zealand |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Aunt, Mrs Frances Joan Johansen, Laitime PO, via Onehunga, New Zealand |
| Enlistment date | 4 February 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, C Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 12 May 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 22 September 1919 |
