| Regimental number | 1770 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Newtown, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, Edmund Simons, Miles Street, Newtown, Geelong, Victoria |
| Enlistment date | 24 February 1916 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/63/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 2 June 1919 |
