| Regimental number | 1084 |
| Place of birth | Kyneton Victoria |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Metropolitan Fire Brigade Station, Eastern Hill, Melbourne, Victoria |
| Age at embarkation | 29 |
| Next of kin | J Madden, McKay Street, North Essendon, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 2, Battery 5 |
| AWM Embarkation Roll number | 13/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A9 Shropshire on |