| Regimental number | 13967 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Tinsmith |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, J W Palmer, 3 Hill Place Street, Poplar, London, England |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia 7 July 1919 |