| Regimental number | 17480 |
| Place of birth | Outtrim Victoria |
| Religion | Church of England |
| Occupation | Motor car salesman |
| Address | West Subiaco, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Arthur Richard Maddren, Hopetoun Terrace, West Subiaco, Perth, Western Australia |
| Enlistment date | 5 July 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 4, Reinforcement 11 |
| AWM Embarkation Roll number | 22/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia 1 June 1919 |
