| Regimental number | 15635 |
| Place of birth | Moruya New South Wales |
| Religion | Roman Catholic |
| Occupation | Assembler |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Ivy Madeline Madden, 6 Brisbane Street, North Sydney, New South Wales |
| Enlistment date | 3 April 1916 |
| Date of enlistment from Nominal Roll | 22 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 31 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Field Company Engineers |
| Fate | Returned to Australia 21 July 1917 |
