| Regimental number | 6947 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Ariah Park, via Temora, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M A Adam, Eltham, Kent, England |
| Enlistment date | 17 October 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Effective abroad (still overseas) |
