| Regimental number | 528 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Station hand |
| Address | Manly, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Anna Renner, Manly, Queensland |
| Enlistment date | 19 November 1914 |
| Date of enlistment from Nominal Roll | 18 November 1914 |
| Rank on enlistment | Driver |
| Unit name | 2nd Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on 15 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Field Ambulance |
| Fate | Returned to Australia 7 January 1919 |
