| Regimental number | 1954 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Cook and baker |
| Address | 4 Browning Street, Campsie, NSW, |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs R Johnson, 4 Browning Street, Campsie, New South Wales |
| Enlistment date | 16 June 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Effective abroad (still overseas) |
