| Regimental number | 65938 |
| Place of birth | Balala New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Uralla, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs V B Adams, 58 Smith Street, Marrickville, New South Wales |
| Enlistment date | 18 July 1918 |
| Rank on enlistment | Private |
| Unit name | 16th to 27th (NSW) Reinforcement |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 1 October 1919 |
