| Regimental number | 3805 |
| Place of birth | Horsham, Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Antares Street, Southern Cross, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S Carlson, Southern Cross, Western Australia |
| Enlistment date | 28 August 1915 |
| Date of enlistment from Nominal Roll | 20 August 1915 |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on 17 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 28 February 1919 |
