| Regimental number | 4764 |
| Place of birth | Ballarat Vic |
| Religion | Roman Catholic |
| Occupation | Plumber |
| Address | Richmond, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Daughter, Mrs. annie Carlson, c/o William Bradford, Shire Clerk, Richmond, Queensland |
| Enlistment date | 16 December 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 24 August 1918 |
