| Regimental number | 1906 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs M A Payne, Pinkenba, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs M Simpson, 34 Milton Road, Bow London, England |
| Enlistment date | 22 January 1915 |
| Date of enlistment from Nominal Roll | 21 January 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 16 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 11 March 1916 |
