| Regimental number | 657 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Wardsman |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Hannah Carlson, Wilcannia, Dillon Street, Paddington, New South Wales |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 2 |
| AWM Embarkation Roll number | 26/66/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A55 Kyarra on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Base Depot Clearing Hospital |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette, Third Supplement, No. 29632 (21 June 1916); 'Commonwealth Gazette' No. 129 (21 September 1916). |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
