| Regimental number | 57863 |
| Place of birth | Childers Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Taabinga Village, Kingaroy, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, H Jeppesen, Martin Place, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
