| Regimental number | 4536 |
| Place of birth | Kangaroo Valley New South Wales |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Dorrigo, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs K Simpson, Wardell, Richmond River, New South Wales |
| Enlistment date | 6 December 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 13 April 1919 |
