| Regimental number | 3871 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Charles Kippin, Megalong Street, Subiaco, Western Australia |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Cyclists Battalion |
| Fate | Returned to Australia 16 June 1919 |