| Regimental number | 1352 |
| Place of birth | Carrick Tasmania |
| Religion | Church of England |
| Occupation | Deputy |
| Address | Wonthaggi, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, Henry Tibballs, Main Street, Outtrim, Victoria |
| Enlistment date | 14 August 1915 |
| Rank on enlistment | TPR |
| Unit name | 9th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Hawkes Bay on 21 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 22 January 1917 |
