| Regimental number | 7003 |
| Place of birth | Tumut New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Tumut, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs A L Hibbens, Tumut, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |