| Regimental number | 4116 |
| Place of birth | Auburn New South Wales |
| Religion | Church of England |
| Occupation | Tramway employee |
| Address | Tasman Macquarie Street, Annadale, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, M Gibbens, Tasman Macquarie Street, Annandale, Sydney, New South Wales |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Cyclists' Battalion |
| Fate | Effective abroad (still overseas) |
