| Regimental number | 5316 |
| Place of birth | Coomera Queensland |
| Religion | Brethren |
| Occupation | Clerk |
| Address | Brisbane, d Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, H.H. Simon, Broughton Estate, Toowong, Queensland |
| Previous military service | 2nd ALH |
| Enlistment date | 12 November 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 22 August 1919 |
