| Regimental number | 14836 |
| Place of birth | Corowa, New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Corowa, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W M Johnson, Sanger Street, Corowa, New South Wales |
| Enlistment date | 2 August 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 6 May 1919 |
