| Regimental number | 5796 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | 150 Commonwealth Street, Surry Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Sarah Johnson, 150 Commonwealth Street, Surry Hills, New South Wales |
| Enlistment date | 5 June 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 26 March 1919 |
