| Place of birth | London England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs C A Palmer, 27 Vicarage Terrace, Wandsworth, London SW, England |
| Enlistment date | 15 December 1916 |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 5th Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 10 February 1917 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 17 March 1917 |
