| Regimental number | 3267 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Pleasant Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Richard Maddern, Pleasant Street, Ballarat, Victoria |
| Enlistment date | 10 April 1915 |
| Rank on enlistment | Private |
| Unit name | MED26.49.1SECTIONB |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 13 February 1917 |
| Miscellaneous details (Nominal Roll) | *second given name is Randall |
