| Regimental number | 631 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Porter |
| Address | 9 Flora Street, St Peters, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs C Adams, 9 Flora Street, St Peters, South Australia |
| Enlistment date | |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 8, Reinforcement 11 |
| AWM Embarkation Roll number | 24/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |