| Regimental number | 5396 |
| Place of birth | Lee England |
| Religion | Methodist |
| Occupation | Baker |
| Address | Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Amy Simmonds, Boswell Place, off Brown Street, Norwood, South Australia |
| Enlistment date | 29 April 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 15 May 1919 |
