| Regimental number | 6805 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, I De La Bere, Kingston, Tasmania |
| Enlistment date | 29 June 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 21 July 1917 |
| Miscellaneous details (Nominal Roll) | *Stated to be Richard St John De-La-Bere on NR |