| Regimental number | 3191 |
| Place of birth | Goulburn New South Wales |
| Religion | Presbyterian |
| Occupation | Motor proprietor |
| Address | Ballina, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ellen Elizabeth Simons, Ballina, New South Wales |
| Enlistment date | 15 February 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 23 December 1918 |
