| Regimental number | 2836 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | 28 Churchill Avenue, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Father, J Simons, 28 Churchill Avenue, Subiaco, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Y4/ATMB |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Date of death |