| Regimental number | 6903 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Mary Ann Gibbens, 7 Salmon Street, Kingsdown, Bristol, England |
| Enlistment date | 24 May 1917 |
| Place of enlistment | Lismore, New South Wales |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Company, Australian Army Service Corps |
| Fate | Discharged 10 October 1919 |
