| Regimental number | 6807 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Bricklayer |
| Address | 27 William Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, G Palmer, Smith Street, Marrickville, Sydney, New South Wales |
| Enlistment date | 26 August 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 11 December 1918 |
