| Regimental number | 21063 |
| Place of birth | Malvern Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Armadale, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Mary Simmonds, 838 Malvern Road, Armadale, Victoria |
| Enlistment date | 1 October 1917 |
| Date of enlistment from Nominal Roll | 4 July 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st to 5th Divisional Signal Companies and Signallers November 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | acs Company |
| Fate | Returned to Australia 6 September 1919 |
