| Regimental number | 3000 |
| Place of birth | Narrabri New South Wales |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Brother, Horace John Simons, Tenterfield, New South Wales |
| Enlistment date | 22 August 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 30 January 1918 |
