| Regimental number | 2186 |
| Place of birth | Warracknabeal Victoria |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | 26 Moore Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Mr. Madin, 26 Moore Street, Footscray, Victoria |
| Enlistment date | 19 May 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 25 June 1915 |
| Regimental number from Nominal Roll | 2186A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 5 April 1919 |