| Regimental number | 1702 |
| Religion | Church of England |
| Occupation | Wall paperer |
| Address | c/o Mrs L Reynolds, Holland House, Flinders Street, Kent Town, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs L Reynolds, Holland House Flinders Street, Kent Town, South Australia |
| Enlistment date | 9 December 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on 1 April 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
