| Regimental number | 19670 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 68 Brisbane Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E S Chipper, 68 Brisbane Street, Perth, Western Australia |
| Enlistment date | 17 November 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 8, Battery 29 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
