| Regimental number | 1946 |
| Religion | Church of England |
| Occupation | Draper |
| Address | Agnes Street, Torwood, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Martha Tate, Agnes Street, Torwood, Brisbane, Queensland |
| Enlistment date | 9 September 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |