| Regimental number | 66780 |
| Place of birth | Lismore New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Reefton, Temora, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs J C Reynolds, Reefton, Temora, New South Wales |
| Enlistment date | 5 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
