| Regimental number | 2522 |
| Place of birth | Peterborough England |
| Religion | Unitarian |
| Occupation | Timber feller |
| Address | 12 Falk Street, Darlinghurst, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs Sarah Tiplady, 2 St John Avenue, St Marks Street, Hull, England |
| Enlistment date | 21 September 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/56/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 5 November 1917 |
