| Regimental number | 2040 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Thos Gibbs, Cambridge Street, North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Annie Gibbs, 27 Tyfer Street, East Greenwich, England |
| Enlistment date | 22 September 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 16 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 23 May 1917 |
