| Regimental number | 2005 |
| Place of birth | Wallaroo South Australia |
| Religion | Church of Christ |
| Occupation | Driver |
| Address | Hughes Street, Wallaroo, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E S Palmer, Hughes Street, Wallaroo, South Australia |
| Enlistment date | 14 January 1915 |
| Date of enlistment from Nominal Roll | 12 January 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A20 Hororata on 20 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 28 September 1919 |
