| Regimental number | 869 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Salisbury Plains, Uralla, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. J. Carlon, Salisbury Plains, Uralla, New South Wales |
| Enlistment date | 1 October 1914 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/11/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A29 Suevic on 21 December 1914 |
| Regimental number from Nominal Roll | 639 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 8 May 1919 |
