| Regimental number | 30902 |
| Place of birth | Cobar New South Wales |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 22 Flood Street, Leichhardt, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs A E Adam, 22 Flood Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 4 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
| Other details | At time of death he was classified TPI. |
| Date of death | 6 February 1972 |
| Age at death | 81 |
| Place of burial | Rookwood Crematorium |