| Regimental number | 1822 |
| Place of birth | Port Adelaide South Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Mabel Simmons, c/- Mr H. Perry, Fletcher Road, Peterhead, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |