| Regimental number | 4548 |
| Place of birth | Wollongong New South Wales |
| Religion | Church of England |
| Occupation | Wheeler |
| Address | Morgan Street, Merewether, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Uncle, Alex Gibb, 9 Dawson Street, Cook's Hill, Newcastle, New South Wales |
| Enlistment date | 8 November 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 3 July 1919 |
