| Regimental number | 1786 |
| Place of birth | Yarram Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Devon North, South Gippsland, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Selina Grace Rendell, Devon North, South Gippsland, Victoria |
| Enlistment date | 28 October 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Squadron |
| Fate | Returned to Australia 24 July 1918 |
