| Regimental number | 5742 |
| Place of birth | Wickham England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Cave Hill Road, Lilydale, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs I E Palliser, 144 Queen Alexandra Road, North Shields, Northumberland, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |
| Date of death | |
| Place of burial | Springvale Cemetery |