| Regimental number | 3016 |
| Place of birth | Alstonville New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Tregeagle, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Ada Blanch Palmer, Tregeagle, Richmond River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 12th Light Trench Mortar Battery |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 185 Date: |