| Regimental number | 1730 |
| Place of birth | Ultimo New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 33 Burlinson Street, Ultimo, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs N Gibbons, 33 Burlinson Street, Ultimo, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 140 Date: |