| Regimental number | 11540 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Peoples Palace, Pitt Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Simmons, 11 Box Street, Devon Road, Bow, London, England |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | 5th Field Artillery Brigade, Reinforcement 3 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
