| Regimental number | 631 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Quarryman |
| Address | No 4 Stafford Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Palmer, No 4 Stafford Street, Adelaide, South Australia |
| Enlistment date | 7 September 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, E Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 5 July 1915 |