| Regimental number | 1648 |
| Place of birth | Queenstown South Australia |
| Religion | Methodist |
| Occupation | Farrier |
| Address | Victoria Street, Queenstown, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs. Mary Ann Simmons, Victoria Street, Queenstown, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
