| Regimental number | 3677 |
| Place of birth | Warracknabeal Victoria |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 35 Ryan Street, Footscray, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A Madin, 67 Ryan Street, Footscray, Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
