| Regimental number | 3617 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Glassworker |
| Address | 'Wolverine', Wilson Street, Mascot, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M A Simmons, 'Wolverine', Wilson Street, Mascot, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
