| Regimental number | 2000 |
| Place of birth | Houghton England |
| Religion | Methodist |
| Occupation | Mining engineer |
| Address | 56 South Street, Spennymoor, Durham, England |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs E Simmons, 56 South Street, Spennymoor, Durham, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia |
| Medals |
Croix de Guerre (Belgium) Source: 'Commonwealth Gazette' No. 91 Date: |