| Regimental number | 1703 |
| Place of birth | Pechey Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Anthony Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mrs Sarah Gibson, Anthony Street, Toowoomba, Queensland |
| Enlistment date | 19 August 1915 |
| Date of enlistment from Nominal Roll | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 4 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Field Ambulance |
| Fate | Returned to Australia 23 December 1918 |
