| Regimental number | 684 |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Cabinetmaker |
| Address | Little Street, Daylesford, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Eliza Simpson, Little Street, Daylesford, Victoria |
| Enlistment date | 20 February 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 12 |
| AWM Embarkation Roll number | 24/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 10 January 1918 |
