| Regimental number | 480 |
| Place of birth | Scottsdale Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kamona via Scottsdale, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs S Simmons, Kamona, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 7 |
| AWM Embarkation Roll number | 24/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 67 |
| Place of burial | Scottsdale Cemetery, Tasmania |