| Regimental number | 1393A |
| Date of birth | |
| Place of birth | Coomera Queensland |
| Religion | CS |
| Occupation | School teacher |
| Address | Lronside Estate, Toowong, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs H J Simon, Ironside Estate, Toowong, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Seang Bee on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 15th Battalion |
| Promotions |
2nd Lieutenant Unit: INF15 Promotion date: Lieutenant Unit: INF15 Promotion date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 62 Date: |