| Regimental number | 4739 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Woorak West via Nhill, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Lewis Rudolph Simon, Woorak West via Nhill, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | A Provost Corps |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Garden of Remembrance, South Australia. |
| Date of death | |
| Age at death | 81 |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
