| Regimental number | 12396 |
| Place of birth | Salisbury Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Patho, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs M Gibbon, Patho PO, Patho, Victoria |
| Enlistment date | 27 January 1916 |
| Date of enlistment from Nominal Roll | 10 February 1916 |
| Rank on enlistment | Driver |
| Unit name | Army Service Corps July 1916 Reinforcements |
| AWM Embarkation Roll number | 25/108/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 12 August 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on 19 August 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Depot Unit of Supply |
| Fate | Returned to Australia 20 July 1919 |
