| Regimental number | 2/1750 |
| Address | Stuart Street, Dunedin |
| Marital status | Single |
| Next of kin | Father, A E Adam, Lynwood Avenue, Dunottar, Roslyn, Dunedin |
| Rank on embarkation | Gunner |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Artillery/Fifth |