| Regimental number | 5637 |
| Place of birth | Charlemount Ireland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Roebourne, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Cousin, George Madden, 'Batesfort', Geelong, Victoria |
| Enlistment date | 8 April 1916 |
| Date of enlistment from Nominal Roll | 7 April 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on 26 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 16 June 1919 |
