| Regimental number | 27740 |
| Place of birth | North Melbourne Victoria |
| Religion | Church of England |
| Occupation | Glassblower |
| Address | North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E A Simpson, 65 Molesworth Street, North Melbourne, Victoria |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 6, Reinforcement 9 |
| AWM Embarkation Roll number | 13/34/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A30 Borda on 20 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
