| Regimental number | 4772 |
| Religion | Roman Catholic |
| Occupation | Railway shunter |
| Address | Bank Street, Port Fairy, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, Mr T Carlon, Bank Street, Port Fairy, Victoria |
| Enlistment date | 19 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Fate | No details of fate entered on Nominal Roll |