| Regimental number | R1916 |
| Religion | Roman Catholic |
| Occupation | Striker |
| Address | Penwortham, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Simms, Plympton, South Australia |
| Enlistment date | 14 January 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Regimental number from Nominal Roll | 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 13 February 1917 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
