| Regimental number | 1022 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Albert Street, Maryborough, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mrs. Adder, Albert Street, Maryborough, Victoria |
| Enlistment date | 9 September 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, D Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on 21 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 29 July 1915 |
