| Regimental number | 4638 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Machinist |
| Address | 136 Morehead Street, Redfern, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs Elizabeth Ada Simmons, 136 Morehead Street, Redfern, Sydney, New South Wales |
| Enlistment date | 18 June 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |