| Regimental number | 5614 |
| Place of birth | Warrnambool Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 2 Erskine Street, North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Mary Johnson, 2 Erskine Street, North Melbourne, Victoria |
| Enlistment date | 23 May 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 22 July 1917 |
