| Regimental number | 2214 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Ironmonger |
| Address | Wilson Street, Mascot, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Simmons, Wilson Street, Mascot, New South Wales |
| Enlistment date | 6 July 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 | 19th Battalion |
| Fate | Returned to Australia 4 May 1917 |
