| Regimental number | 1975 |
| Place of birth | Sale Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o A W Hills, Tallangatta, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Margaret Simmons, c/o A W Hills, Tallangatta, Victoria |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 21 December 1917 |
