| Regimental number | 3001 |
| Religion | Methodist |
| Occupation | Railway employee |
| Address | Fitzroy Avenue, Cowra, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs L Adam, c/o H Carter, West Street, Hurstville, New South Wales |
| Enlistment date | 28 April 1918 |
| Date of enlistment from Nominal Roll | 19 May 1915 |
| Rank on enlistment | Private |
| Unit name | April 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Railway Companies |
| Fate | Returned to Australia 1 July 1919 |