| Regimental number | 2760 |
| Place of birth | Benalla Victoria |
| Religion | Roman Catholic |
| Occupation | Billiard marker |
| Address | Carrier Street, Benalla, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs A Reynolds, Carrier Street, Benalla, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |