| Regimental number | 53 |
| Religion | Methodist |
| Occupation | Sailor |
| Address | 2 St John's Avenue, Mark Street, Hull, England |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Sarah Tiplady, 2 St John's Avenue, Mark Street, Hull, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force (Queensland Reinforcement) |
| Fate | No details of fate entered on Nominal Roll |