| Regimental number | 746 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Peelrerbath near Shrewsbury, Shropshire, England |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Harrietta Tibbey, Peelrerbath near Shrewsbury, Shropshire, England |
| Enlistment date | 14 December 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A53 Itria on 9 February 1915 |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 29 June 1916 |