| Regimental number | 14681 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Tinsmith |
| Address | North Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs L M Adams, 4 Jordan Hill Road, Hobart, Tasmania |
| Enlistment date | 8 March 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A70 Ballarat on 8 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 66th Battalion |
| Fate | Returned to Australia 10 September 1917 |
