| Regimental number | 4842 |
| Place of birth | Hulbury South Australia |
| Religion | Church of England |
| Occupation | Porter |
| Address | Rann Street, Birkenhead, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S J Palmer, Rann Street, Birkenhead, South Australia |
| Enlistment date | 4 November 1915 |
| Date of enlistment from Nominal Roll | 3 November 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Effective abroad (still overseas) |
