| Regimental number | 6604 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Taree, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W N G Palmer, Albert Street, Taree, Manning River, New South Wales |
| Enlistment date | 30 September 1916 |
| Date of enlistment from Nominal Roll | 20 November 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 23 September 1918 |