| Regimental number | 1107 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Victoria Avenue, Claremont, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Charles Alfred Carlson, Victoria Avenue, Claremont, Western Australia |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, D Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Fate | No details of fate entered on Nominal Roll |
