| Regimental number | 3794 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Liverpool Road, Bankstown, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Edward Simmons, Liverpool Road, Bankstown, New South Wales |
| Enlistment date | 28 May 1917 |
| Date of enlistment from Nominal Roll | 4 June 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 35th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |