| Regimental number | 15 |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Surveyor |
| Address | Graceville, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J Palmer, Graceville, Queensland |
| Enlistment date | 2 September 1914 |
| Rank on enlistment | Driver |
| Unit name | 3rd Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A22 Rangatira on 25 September 1914 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 4 December 1918 |
