| Regimental number | 10176 |
| Place of birth | Smeaton, Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, W H Adams, Portsea, Victoria |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | No. 3 Australian General Hospital, 1st Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 2 January 1919 |
