| Regimental number | 3422 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kangaroo Island, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Annie Jupp, 50 Cherry Orchard Road, E Croydon, Surrey, England |
| Enlistment date | 3 October 1916 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Mobile Veterinary Section |
| Fate | Returned to Australia 7 July 1919 |