| Regimental number | 1797 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Dairy farmer |
| Address | Crows Nest, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Annie Selena Adams, 'Oaklands', Crows Nest, Queensland |
| Enlistment date | |
| Place of enlistment | Toowoomba, Queensland |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
