| Regimental number | 5004 |
| Place of birth | Tumby Bay South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lipson, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Elizabeth Gibbons, Lipson, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 13th Reinforcement |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board A45 Bulla on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
