| Regimental number | 65A |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | Geelong West, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs C Palmer, 35 Spring Street, Geelong West, Victoria |
| Enlistment date | 26 January 1915 |
| Date of enlistment from Nominal Roll | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Regimental number from Nominal Roll | 65 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 26 July 1919 |