| Regimental number | 4780 |
| Place of birth | Brisbane Queensland |
| Religion | Congregational |
| Occupation | Labourer |
| Address | c/o Mrs H Johnson, Rosalea, SC Line, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Brother, Percy Shipp, Rocklea via Brisbane, Queensland |
| Enlistment date | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 14 January 1919 |