| Regimental number | 595 |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | 48 Down Street, Collingwood, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Ellen E Simmons, 27 Islington Street, Collingwood, Victoria |
| Enlistment date | 12 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 10, Reinforcement 9 |
| AWM Embarkation Roll number | 24/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Headquarters, Australian Base Depot |
| Fate | Returned to Australia 15 May 1919 |