| Regimental number | 5966 |
| Place of birth | Derbyshire England |
| Religion | Methodist |
| Occupation | Fitter |
| Address | 75 Park Street, North Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E A Adcock, 75 Park Street, North Carlton, Victoria |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | INF8REIN19 |
| Fate | Returned to Australia 8 August 1918 |
