| Regimental number | 5920 |
| Place of birth | Doncaster England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Manjimup, Western Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Rosette Fullarton Simpson, Donnelly Park, Manjimup, Western Australia |
| Enlistment date | 22 June 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 13 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 8 August 1918 |
