| Regimental number | 17407 |
| Place of birth | West Maitland New South Wales |
| Religion | Methodist |
| Occupation | Engineer |
| Address | Wallace Street, West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, Charles Henry Tippett, Wallace Street, West Maitland, New South Wales |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | February 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Mcgillivray on 10 May 1917 |
| Regimental number from Nominal Roll | 17409 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Returned to Australia 9 August 1919 |
