| Regimental number | ... |
| Date of birth | |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Merredin, Harvey, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Grace Harriette Palmer, Merredin, Harvey, Western Australia |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 10th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT RMS Mongolia on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Promotions |
Lieutenant Unit: 10th Light Horse Promotion date: |
| Recommendations (Medals and Awards) |
Order of the Nile Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Order of the Nile, 3rd Class Source: 'Commonwealth Gazette' No. 33 Date: |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
