| Regimental number | 1634 |
| Place of birth | Longwood Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Miss M. Reynolds, Hurley Street, Longwood, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Miss M. Reynolds, Hurley Street, Longwood, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | |
| Place of burial | Lilydale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
