| Regimental number | 65811 |
| Place of birth | Bungendore New South Wales |
| Religion | Church of England |
| Occupation | Waggon-fitter, railways |
| Address | Werris Creek, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs E M Palmer, Werris Creek, New South Wales |
| Enlistment date | 13 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 18 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th General Service Reinforcements |
| Fate | Returned to Australia 25 September 1919 |