| Regimental number | 3796 |
| Place of birth | Blyth England |
| Religion | Church of England |
| Occupation | Brickmaker |
| Address | c/o Mrs C M Simpson, 17 Mile Street, Oxley, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Aunt, Mrs C M Simpson, 17 Mile Street, Oxley, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
