| Regimental number | 1651 |
| Place of birth | Bracknell, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Blackwood Creek, Cracknell, Tasmania |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Ann Adams, Blackwood Creek, Cracknell, Tasmania |
| Enlistment date | 31 March 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Army Provost Corps |
| Fate | Returned to Australia 25 September 1919 |
