| Regimental number | 1421 |
| Place of birth | Scarborough England |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, G Tate, 6 Durham Street, Scarborough, England |
| Enlistment date | 30 October 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on 22 February 1915 |
| Regimental number from Nominal Roll | 126 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Infantry Brigade Headquarters |
| Fate | Returned to Australia 14 December 1918 |
