| Regimental number | 704 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Soldier |
| Address | 23 Bolton Street, Spotswood, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C Simmons, 23 Bolton Street, Spotswood, Victoria |
| Previous military service | Royal Australian Garrison Artillery |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 6 |
| AWM Embarkation Roll number | 13/49/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
