| Regimental number | 5136 |
| Religion | Methodist |
| Occupation | Miner |
| Address | Bluff via Rockhampton, Central Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M J Madders, Bluff via Rockhampton, Central Queensland |
| Enlistment date | 26 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 27 May 1919 |
