| Regimental number | 481 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | 4 Balmoral Place, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J Simmons, 4 Balmoral Place, South Melbourne, Victoria |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, C Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on 21 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
