| Regimental number | 3058 |
| Place of birth | Corowa, New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ganmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, M Gibson, Ganmain, New South Wales |
| Enlistment date | 11 September 1915 |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 September 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
