
| Regimental number | 983 |
| Place of birth | Kempsey, New South Wales |
| Place of birth | Dondingalong, New South Wales |
| School | Wandingalong Public School, New South Wales |
| Religion | Roman Catholic |
| Occupation | Timber cutter |
| Address | Sherwood, Macleay River, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs Annie Simon, Sherwood, Macleay River, New South Wales |
| Previous military service | Nil. |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion E Company |
| AWM Embarkation Roll number | 23/20/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| No details of embarkation for HQ and A-H Companies entered on Embarkation Roll. | |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Place of death or wounding | Egypt |
| Date of death | |
| Age at death | 26.7 |
| Age at death from cemetery records | 26 |
| Place of burial | Cairo War Memorial Cemetery (Row M, Grave No. 19), Egypt |
| Panel number, Roll of Honour, Australian War Memorial | 38 |
| Miscellaneous information from cemetery records | Parents: Joseph and Annie SIMON |