| Regimental number | 10116 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Railway guard |
| Address | 8 Durham Street, Stanmore, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E H Simmons, 8 Durham Street, Stanmore, New South Wales |
| Enlistment date | 20 December 1915 |
| Unit name | Railway Supply Detachment1, Reinforcement 17 |
| AWM Embarkation Roll number | 25/35/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | no 1 AUST DMT Company |
| Fate | Returned to Australia 31 March 1919 |