| Regimental number | 5715 |
| Place of birth | Mount Perry Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Drummers Creek, Mount Perry Line, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M Madsen, Drummers Creek, Mount Perry Line, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
