| Regimental number | 5138 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Queenstown, Tasmania |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E F Maddock, Queenstown, Tasmania |
| Enlistment date | 31 December 1915 |
| Date of enlistment from Nominal Roll | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 5 November 1917 |
