| Regimental number | 5089 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Rowsley, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, John Simmons, Rowsley via Bacchus Marsh, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |