| Regimental number | 19/250 |
| Address | 73 Hawkestone Street, Wellington |
| Marital status | Single |
| Next of kin | Father, William Simpson, Old Brinsley near Eastwood, Nottinghamshire, England |
| Rank on embarkation | Sergeant |
| Enlistment status | Volunteer |
| Unit name | Samoan Relief Force, Infantry |
| Embarkation details | Unit embarked from Auckland on board SS Talune on |
| Miscellaneous details | Nominal Roll Vol. 1: Infantry/Samoan Relief |