| Regimental number | 5125 |
| Place of birth | Wolverhampton England |
| Religion | Church of England |
| Occupation | Ironmonger |
| Address | Mile End, South Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Kathleen Palk, Daringa Street, Mile End, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 13th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A37 Barambah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
