| Regimental number | 5856 |
| Place of birth | Hamley Bridge South Australia |
| Religion | Methodist |
| Occupation | Saddler |
| Address | Balaklava, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs W S H Simons, Balaklava, South Australia |
| Enlistment date | 19 April 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 27 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 3 March 1919 |
