
| Regimental number | 5486 |
| Place of birth | St. Arnaud, Victoria |
| School | Whela State School, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Koondrook, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W.G. Simons, Koondrook, Victoria |
| Previous military service | Nil. |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Deceased |
| Place of death or wounding | France |
| Age at death | 20.4 |
| Age at death from cemetery records | 20 |
| Place of burial | Borre Churchyard (Row A, Grave No. 5), France |
| Panel number, Roll of Honour, Australian War Memorial | 48 |
| Miscellaneous information from cemetery records | Parents: William and Louisa SIMONS, Koondrook, Victoria |
| Family/military connections | At least one Uncle. |