| Regimental number | 3893 |
| Place of birth | Prospect South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Haslam, West Coast, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs L Palmer, Haslam, West Coast, South Australia |
| Enlistment date | 2 June 1917 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 2 January 1919 |
