| Regimental number | 3858 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Steward |
| Address | Milsons Point, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, M Madgwick, Hill Top, 36 Carrabella Street, Milsons Point, Sydney, New South Wales |
| Enlistment date | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 27 July 1917 |