| Regimental number | 3901 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Kennedy Street, West Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Mary Maria Palmer, Kennedy Street, West Ipswich, Queensland |
| Previous military service | Inst Staff |
| Enlistment date | 1 March 1917 |
| Rank on enlistment | Sergeant |
| Unit name | 4th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 13 June 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 4 July 1919 |
