| Regimental number | 1043 |
| Place of birth | Bendigo Victoria |
| Religion | Methodist |
| Occupation | Soldier |
| Address | Barracks, Queenscliff, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Rev Alfred Madsen, 68 Richardson Street, Essendon, Victoria |
| Previous military service | Royal Australian Garrison Artillery |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Heavy Artillery Group 36, Reinforcement 13 |
| AWM Embarkation Roll number | 13/49/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Geelong West Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
