| Regimental number | 8015 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, G Palmer, West Perth PO, West Perth, Western Australia |
| Enlistment date | 9 October 1917 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 27th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board SS Canberra on 23 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 28 March 1919 |