| Regimental number | 9491 |
| Place of birth | Mount Gambier South Australia |
| Religion | Church of England |
| Occupation | Boilermaker's assistant |
| Address | 6 Marion Street, Unley, South Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E M Palmer, c/o Mrs W Edwards, 6 Marion Street, Unley, South Australia |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 6, Reinforcement 1 |
| AWM Embarkation Roll number | 13/34/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
