| Regimental number | 1570 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | River Road, Lytton, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Isabel Kennedy Gibson, River Road, Lytton, Queensland |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
