| Regimental number | 2763 |
| Place of birth | Petersburgh South Australia |
| Religion | Church of England |
| Occupation | Fireman, SAR |
| Address | Mile End, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Clara Bertha Gibbs, 23 King Street, Mile End, South Australia |
| Enlistment date | 10 April 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on 16 December 1916 |
| Regimental number from Nominal Roll | 2763A |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 11 May 1919 |
