| Regimental number | 3226 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 601 Drummond Street, Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs A J Adams, 601 Drummond Street, Ballarat, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 10 March 1918 |
