| Regimental number | 5194 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Cousin, C O Johnson, Young Street, Annandale, New South Wales |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, 2nd Reinforcement |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Depot Unit of Supply |
| Fate | Returned to Australia 31 March 1919 |
