| Regimental number | 1622 |
| Place of birth | Gympie Queensland |
| Religion | Methodist |
| Occupation | Butcher |
| Address | c/o J Bate, Budirim Mountain, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs J Bare, Budirim Mountain, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Field Ambulance, 2nd Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A51 Chilka on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |