| Regimental number | 3907 |
| Place of birth | Toowoomba Queensland |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Glencoe, Gowrie Junction, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Peter Reis, Glencoe, Gowrie Junction, Toowoomba, Queensland |
| Enlistment date | 3 April 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 13 June 1917 |
| Regimental number from Nominal Roll | 3907A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 18 July 1919 |
