| Regimental number | 3423 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 85 Glyde Street, East Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Mary Gibson, 85 Clyde Street, East Fremantle, Western Australia |
| Enlistment date | 11 April 1917 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A17 Port Lincoln on 30 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
