| Regimental number | 5373 |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | New Norfolk, Tasmania |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs T C Adair, New Norfolk, Tasmania |
| Enlistment date | 4 June 1915 |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| AWM Embarkation Roll number | 26/104/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 17 July 1915 |
| Rank from Nominal Roll | Private |
| Miscellaneous details (Nominal Roll) | For NR details see other. |
