| Regimental number | 567 |
| Place of birth | Dungog New South Wales |
| Religion | Church of England |
| Occupation | Porter |
| Address | 'Gowrie', Bendalba, Dunjoy, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Uncle, William Ford Simmons, 'Gowrie', Bendalba, Dunjoy, New South Wales |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Lance Corporal |
| Unit name | 35th Battalion, B Company |
| AWM Embarkation Roll number | 23/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 30 January 1918 |
