| Regimental number | 9904 |
| Place of birth | Ipswich Queensland |
| Religion | Roman Catholic |
| Occupation | Master draper |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs S Madden, Thomas Street, Ipswich, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, 16th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | South Brisbane Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
