| Regimental number | Regno |
| Religion | Presbyterian |
| Occupation | Boilermaker |
| Address | 14 Anderson Street, Albert Park, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | C H Adams, 14 Anderson Street, Albert Park, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, B Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |