| Regimental number | 3409 |
| Place of birth | Portsmouth England |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs M Palmer, 29 Wilkinson Street Brunswick, Victoria |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Training Squadron Australian Flying Corps |
| Fate | Returned to Australia 9 March 1919 |
