| Regimental number | 7569 |
| Religion | Church of England |
| Occupation | Vigneron |
| Address | Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Palmer, Ballantrae, Caversham via Guildford, Western Australia |
| Enlistment date | 30 January 1917 |
| Date of enlistment from Nominal Roll | 1 May 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 3 September 1919 |
