| Regimental number | 5216 |
| Place of birth | Marulan New South Wales |
| Religion | Church of England |
| Occupation | Seed store foreman |
| Address | Dundas, Carlingford Line, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs. E.T. Rippon, Dundas, New South Wales |
| Enlistment date | 30 December 1915 |
| Date of enlistment from Nominal Roll | 13 December 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st A Corps Sal S |
| Fate | Returned to Australia 3 May 1919 |