| Regimental number | 21742 |
| Place of birth | Newtown Tasmania |
| Religion | Seventh Day Adventist |
| Occupation | Farmer |
| Address | Glenorchy, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C A Johnson, 317 Murray Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
