| Regimental number | 1403 |
| Place of birth | Warrnambool Victoria |
| Religion | Baptist |
| Occupation | Farmer |
| Address | Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mrs M Johnstone, Merri Street, Warrnambool, Victoria |
| Enlistment date | 15 July 1915 |
| Date of enlistment from Nominal Roll | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on 29 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 5 March 1919 |
