| Regimental number | 63958 |
| Place of birth | Faversham England |
| Religion | Methodist |
| Occupation | Teacher |
| Address | Unley, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W Palmer, 38 Arthur Street, Unley, South Australia |
| Enlistment date | 6 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 Boonah on 29 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 23 March 1919 |
