| Regimental number | 5016 |
| Place of birth | Bogan Gate New South Wales |
| Religion | Church of England |
| Occupation | Groom |
| Address | Shepton Mallett, Somerset, England |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, H Giblett, Shepton Mallett, England |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 12 June 1919 |