| Regimental number | 64 |
| Place of birth | Brunswick Victoria |
| Occupation | Storeman |
| Address | 9 Station Street, Carlton, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Lily Tate, 9 Station Street, Carlton, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 13th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A4 Pera on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
