| Regimental number | 1789 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Chancery Street, Canley Vale, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Ada Mary Palmer, Chancery Street Canley Vale, New South Wales |
| Enlistment date | 1 February 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A9 Shropshire on 17 March 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Salvage Company |
| Fate | Returned to Australia 23 February 1919 |
