| Regimental number | 8069 |
| Place of birth | Albany, Western Australia |
| Religion | Roman Catholic |
| Occupation | Packer |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs C Carlson, 74 King Street, Perth, Western Australia |
| Enlistment date | 23 May 1917 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 27th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board SS Canberra on 23 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 31 May 1919 |
