| Regimental number | 13455 |
| Date of birth | |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Croydon, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Brother, J Maddern, Robert Street, Kilkenny, South Australia |
| Enlistment date | |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Dental Corps |
| Promotions |
Lieutenant Unit: MED Dental Unit 86 Promotion date: Captain Unit: MED Dental Unit 86 Promotion date: |
| Fate | Returned to Australia |