| Regimental number | 4457 |
| Place of birth | Carlton, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Collett Street Kensington, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Brother, J Carlson, 57 Lygon Street, Carlton, Victoria |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 5 November 1917 |
