| Regimental number | 9078 |
| Place of birth | Gisborne New South Wales |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 225 Amess Street, North Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Wife, Mrs R Simmons, 73 Peel Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | 2nd Divisional Ammunition Column |
| AWM Embarkation Roll number | 25/90/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A39 Port Macquarie on |
| Regimental number from Nominal Roll | 9578 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia |
| Medals |
Croix de Guerre (Belgium) Source: 'Commonwealth Gazette' No. 185 Date: |