| Regimental number | 2213 |
| Place of birth | Sittingbourne England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o G P O Sydney, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, E Simmons, 23 Bayford Road, Sittingbourne, Kent, England |
| Enlistment date | 11 February 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 12 April 1919 |
