| Regimental number | 4353 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Laundry carter |
| Address | 'Leigham', Clareville Avenue, Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, S Adams, 'Leigham', Clareville Avenue, Kogarah, New South Wales |
| Enlistment date | |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |