| Regimental number | 15623 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Woodworker |
| Address | 90 Rose Street, Darlington, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C Simmons, 90 Rose Street, Darlington, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 11, Reinforcement 2 |
| AWM Embarkation Roll number | 13/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
