| Regimental number | 67033 |
| Place of birth | Ariah Park New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ariah Park, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, C Adams, Ariah Park, New South Wales |
| Enlistment date | 27 January 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 23 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
