| Regimental number | 19193 |
| Place of birth | North Adelaide South Australia |
| Religion | Congregational |
| Occupation | School teacher |
| Address | Bowden on Hill, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, N Rendell, Park Terrace, Bowden-on-Hill, South Australia |
| Enlistment date | 28 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Sanitation Section |
| Fate | Effective abroad (still overseas) |
