| Regimental number | 498 |
| Religion | Methodist |
| Occupation | Mariner |
| Address | Karoola, Tasmania |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Letieia Simmonds, Karoola, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, B Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |