| Regimental number | 1664 |
| Place of birth | Dungog New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Mayne Street, Kangaroo Point, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Fiona Tate, Mayne Street, Kangaroo Point, Brisbane, Queensland |
| Enlistment date | 15 August 1915 |
| Date of enlistment from Nominal Roll | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | x2a Trench Mortar Battery |
| Fate | Returned to Australia 8 April 1919 |
