| Regimental number | 20073 |
| Religion | Roman Catholic |
| Occupation | Train examiner |
| Address | Cowra, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs J Gibson, Park Street, Cowra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |