| Regimental number | 6263 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | 36 Corben Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Gibson, 36 Corben Street, Surry Hills, New South Wales |
| Enlistment date | 29 December 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
