| Regimental number | 216 |
| Place of birth | Greenough Western Australia |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Talagunda, via Meekatharra, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs A Johns, Talagunda, via Meekatharra, Western Australia |
| Enlistment date | 26 September 1914 |
| Rank on enlistment | Driver |
| Unit name | 3rd Field Ambulance, C Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 2 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 1 November 1918 |
