| Regimental number | 18503 |
| Place of birth | Mount Barker South Australia |
| Religion | Baptist |
| Occupation | Farmer |
| Address | Prospect, South Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs A N Simper, 22 Daphne Street, Prospect, South Australia |
| Enlistment date | 25 May 1917 |
| Rank on enlistment | Private |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 23 July 1919 |
