| Regimental number | 2260 |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 'Mildura', Qualtrough Street, South Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Elizabeth Tibby, 'Mildura', Qualtrough Street, Wooloongabba, South Brisbane, Queensland |
| Enlistment date | 11 March 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |