| Regimental number | 3743 |
| Place of birth | Edwardstown South Australia |
| Religion | Baptist |
| Occupation | Carrier |
| Address | Mount Compass, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A H Simons, Mt Compass, South Australia |
| Enlistment date | 19 September 1917 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 34th Reinforcement |
| AWM Embarkation Roll number | 10/14/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Squadron Engineers |
| Fate | Returned to Australia 3 July 1919 |
