| Regimental number | 4639 |
| Place of birth | Dunedin New Zealand |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | 52 Denison Street, Woollahra, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Janet Mary Simmons, 17 Gowrie Street, Newtown, Sydney, New South Wales |
| Enlistment date | 18 May 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
