| Regimental number | 3127 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Shunter |
| Address | Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M A Tibbey, 7 Roseberry Street, Balmain, Sydney, New South Wales |
| Enlistment date | 3 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 | Corporal |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 24 December 1918 |
