| Regimental number | 3125 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 105 Gilbert Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Alice Simmons, 105 Gilbert Street, Adelaide, South Australia |
| Enlistment date | 26 February 1917 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/60/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Working Party |
| Fate | Returned to Australia 1 April 1919 |
