| Regimental number | 684 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | c/o T R Palmer, Mullet Creek, Gladstone, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs Johanna Franck, Port Nolloth, Namaqualand, Cape Colony, South Africa |
| Enlistment date | 7 November 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 7, Reinforcement 12 |
| AWM Embarkation Roll number | 24/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Regimental number from Nominal Roll | 684A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 20 November 1918 |
