| Regimental number | 5423 |
| Place of birth | Stockport South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs L Palmer, Port Pirie, South Australia |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 6 June 1918 |