| Regimental number | 17047 |
| Place of birth | Orbost Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Orbost, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Walter Maddern, Orbost, Victoria |
| Enlistment date | 2 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on 17 January 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 19 August 1919 |
