| Regimental number | 1121 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Tuckpointer |
| Address | Wangaratta, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Mary Ann Simons, Swan Street, Wangaratta, Victoria |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 37th Battalion, D Company |
| AWM Embarkation Roll number | 23/54/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
