| Regimental number | 59622 |
| Place of birth | Redfern New South Wales |
| Religion | Baptist |
| Occupation | Moulder |
| Address | Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs E P Johnson, 100 Nelson Street, Annandale, New South Wales |
| Enlistment date | 13 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 13 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 31 December 1918 |
