| Regimental number | 2678 |
| Place of birth | Manchester, England |
| Religion | Church of England |
| Occupation | Oxy acetylene welder |
| Address | 75 Albion Street, Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Emily Simons, 75 Albion Street, Annandale, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Miscellaneous details | Address incorrectly entered on Embarkation Roll as Armidale. |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
