| Regimental number | 3796 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Baker |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Jane Gibson, 'Healey', Thomas Street, Milton, Queensland |
| Enlistment date | 5 April 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Regimental number from Nominal Roll | 3796A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 23 September 1918 |