| Regimental number | 765 |
| Place of birth | Beetaloo Valley South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Florence Street, Port Pirie, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs. H.M. Simpson c/o Mrs. S.Dugan, Port Pirie PO, Port Pirie, South Australia |
| Enlistment date | 30 November 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A4 Pera on 8 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
