| Regimental number | 11980 |
| Place of birth | Colchester England |
| Religion | Church of England |
| Occupation | Sailor |
| Address | 148 Latrobe Terrace, Geelong West, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, R Simons, Beaconsfield Cottage, Brooke Street, Wybenhoe, Essex, England |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 14 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 11 May 1919 |