| Regimental number | 10/3997 |
| Place of birth | Australia |
| Occupation | Railway surfaceman |
| Next of kin | Mother, Mrs M A Simmons, Bendigo, Victoria, Australia |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 10th Reinforcements, Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 26, p. 13 |