| Regimental number | 3515 |
| Place of birth | Coolah New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Arncliffe, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Father, R Palmer, C/o Mrs G Pymble, Park Street, Arncliffe, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
