| Regimental number | 4875 |
| Place of birth | Geelong Victoria |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | 107 Dow Street, Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs M L Maddern, 107 Dow Street, Port Melbourne, Victoria |
| Enlistment date | 9 December 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 2 March 1919 |
