| Regimental number | 5188 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fyans Street, Stawell, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S H Palmer, Fulham, England |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 2 January 1919 |