| Regimental number | 1789 |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Telegraphist |
| Address | Cowan Cowan, Moreton Island, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Par, Mr And Mrs J Palmer, Signal Station Cowan Cowan, Moreton Island, Brisbane, Queensland |
| Enlistment date | 21 January 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A15 Star Of England on 8 April 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 3 March 1916 |
