| Regimental number | 4456 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Condobolin, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs E Johnson, 24 Glebe Street, Glebe, Sydney, New South Wales |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | "16/1215" |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Effective abroad (still overseas) |
