| Regimental number | 169 |
| Place of birth | Bundanoon New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Croydon, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Lilias Edith Palmer, 'Gowan', Cantor Street, Croydon, New South Wales |
| Previous military service | 26th AASC |
| Enlistment date | 14 December 1916 |
| Rank on enlistment | Private |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 6th Broad Gauge Railway Operating Company |
| Fate | Effective abroad (still overseas) |
