| Regimental number | 1866 |
| Place of birth | Port Said Egypt |
| Religion | Orthodox |
| Occupation | Waiter |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Sophia Adams, Mennis Street, Port Said, Egypt |
| Enlistment date | 28 January 1916 |
| Date of enlistment from Nominal Roll | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 10 June 1919 |