| Regimental number | 428 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Margaret Street, Moonee Ponds, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Anna Tate, 42 Margaret Street, Moonee Ponds, Melbourne, Victoria |
| Enlistment date | 30 August 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 6 |
| AWM Embarkation Roll number | 24/11/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 20 October 1916 |
| Regimental number from Nominal Roll | 428B |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 20 October 1918 |
