| Regimental number | 6/3592 |
| Place of birth | Dunedin |
| Occupation | Labourer |
| Next of kin | Wife, Mrs J J Adam, 224 Wilson's Road, Linwood, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board SS Maunganui on |
| Final rank | Lance Corporal |
| Final unit | Canterbury Regiment |
| Fate | Died of disease |
| Age at death from cemetery records | 31 |
| Place of burial | Anderson's Bay Cemetery, Dunedin |
| Miscellaneous information from cemetery records | Wife: Louisa Adam, 148 Waltham Road, Sydenham, Christchurch |
| Other details |
War service: Egypt, Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 23 |