| Regimental number | 9964 |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Bondi, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A J Adams, 'Oaklea', Ocean Street South, Bondi, New South Wales |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/66/3 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Miscellaneous details (Nominal Roll) | For NR details see other. |