| Regimental number | 9964 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 'Oaklea', Ocean Street, South Bondi, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J Adams, 'Oaklea', Ocean Street, South Bondi, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/66/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |