| Regimental number | 5120 |
| Place of birth | Lancashire England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Harwood, Kensington Road, Summer Hill, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, J. Jepson, 15 Chapel Street, West Gorton, Manchester, England |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 20 April 1919 |
