| Regimental number | 6595 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bacon Street, Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs J Simmons, Bacon Street, Grafton, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
