| Regimental number | 684 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | c/o T R Palmer, Mullet Creek, Gladstone, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs Johanna Franck, Port Nolloth, Namaqualand, Cape Colony, South Africa |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 7, Reinforcement 12 |
| AWM Embarkation Roll number | 24/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Regimental number from Nominal Roll | 684A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
