| Regimental number | 19059 |
| Occupation | Survey hand |
| Next of kin | Father, Thomas Simonsen, Little Wanganui, Westport |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 6th Reinforcements to 4th Battalion, H Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 36 |