| Regimental number | 3045 |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, A Gibson, Lane Street, Broken Hill, New South Wales |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 6 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Returned to Australia 15 January 1919 |
