| Regimental number | 5651 |
| Place of birth | Gundagai New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Tumbarumbah, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J Adams, Gilbert Street, Tumbarumbah, New South Wales |
| Enlistment date | 3 February 1916 |
| Date of enlistment from Nominal Roll | 3 February 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan Macgillivray on 3 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 19 June 1919 |