| Regimental number | 817 |
| Place of birth | Norfolk Island New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S E Adams, Norfolk Island, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 15 |
| AWM Embarkation Roll number | 24/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
