| Regimental number | 1104 |
| Religion | Protestant |
| Occupation | Labourer |
| Address | Burnside Road, Burnside, South Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs C R Gibson, Burnside Road, Burnside, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
