| Regimental number | 3103 |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | York, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Harriet Reynolds, Cross Street, West Hindmarsh, South Australia |
| Enlistment date | 17 October 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 6 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on 29 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
