| Regimental number | 3430 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Mortdale, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Florence Martin Palmer, Broughton Street, Mortdale, New South Wales |
| Enlistment date | 18 December 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/62/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 19 October 1917 |