| Regimental number | 2867 |
| Place of birth | Islington New South Wales |
| Religion | Roman Catholic |
| Occupation | Packer |
| Address | Hamilton, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Elizabeth Mary Johansen, 13 Lawson Street, Hamilton, New South Wales |
| Previous military service | 13th Infantry |
| Enlistment date | 6 June 1916 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/63/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 23 June 1919 |