| Regimental number | 13179 |
| Place of birth | Port Pirie South Australia |
| Religion | Methodist |
| Occupation | Baker |
| Address | Maylands, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, S Reynolds, 17 Seventh Avenue, Maylands, Western Australia |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 17 June 1918 |
