| Regimental number | 4219 |
| Place of birth | Burnley England |
| Religion | Church of England |
| Occupation | Confectioner |
| Address | 35 Margaret Street, Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, J E Rennard, 16 North A Street, Laftville, Connecticutt, USA |
| Enlistment date | 5 November 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 8 August 1919 |
