| Regimental number | 1947 |
| Place of birth | Morwell Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Morwell, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Margaret Grant Simmons, Morwell, Victoria |
| Enlistment date | 19 June 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A30 Borda on 20 October 1916 |
| Regimental number from Nominal Roll | 1997 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | nig No details enetered on Nominal |