| Regimental number | 3937 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Lather |
| Address | Camperdown, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Jessie Victoria Simpson, 23 Rochester Street, Camperdown, New South Wales |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
