| Regimental number | 809 |
| Place of birth | England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Alexander Street, Kurri Kurri, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Annie Alica Johnson, Krogoog, Norway |
| Enlistment date | 4 December 1915 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, C Company |
| AWM Embarkation Roll number | 23/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 8 April 1917 |
