| Regimental number | 3064 |
| Place of birth | Fremantle Western Australia |
| Religion | Roman Catholic |
| Occupation | Contractor |
| Address | Konnongorring, via Goomaling, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Grandparent, Mrs. Catherine Adlam, sen., 12 Ivey Street, West Perth, W.A. |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/14/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A45 Bulla on 16 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 11 July 1917 |
