| Regimental number | 19747 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Cooper |
| Address | Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Rose Palmer, McKimmie Street, Palmyra, Western Australia |
| Enlistment date | 29 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 21 March 1919 |
