| Regimental number | 4639 |
| Place of birth | Majorca, Victoria |
| Religion | Church of England |
| Occupation | Explosive expert |
| Address | Laidley, Queensland |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs J Adam, Caxton Street, Brisbane, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Effective abroad (still overseas) |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |