| Regimental number | 5614 |
| Place of birth | Petersham New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | 470 Parramatta, Road, Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Nell Palmer, 470 Parramatta, Road, Petersham, New South Wales |
| Previous military service | 36th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
