| Regimental number | 7682 |
| Place of birth | Sydney, New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Alexandria, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. E. Adams, 3 Boundary Street, Alexandria, Sydney, New South Wales |
| Enlistment date | 14 September 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/19/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Company, Australian Army Service Corps |
| Fate | Effective abroad (still overseas) |
