| Regimental number | 3748 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Elizabeth Tippett, Gordonvale, Cairns, Queensland |
| Enlistment date | 10 April 1917 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 23 July 1919 |