| Regimental number | 5666 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | East Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Ann Tippett, Plumer Street, East Kalgoorlie, Western Australia |
| Enlistment date | 19 April 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on 26 September 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Field Bakery |
| Fate | Returned to Australia 1 June 1919 |