| Regimental number | 1332 |
| Religion | Church of England |
| Occupation | Wheelwright |
| Address | Bathurst Street, Brewarrina, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Sophia Celia Simmonds, Bathurst Street, Brewarrina, New South Wales |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 21 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
