| Regimental number | 2011 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 62 Roseneath Street, Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Eliza Tippett, c/o Mrs Wallace, Evaline Road, Hawthorn, Victoria |
| Enlistment date | 12 February 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 10 June 1919 |
