| Regimental number | 17195 |
| Place of birth | Manly New South Wales |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | 12 East Esplanade, Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, R W Carroll, 8 Young Street, Sydney, New South Wales |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Reinforcement 6 |
| AWM Embarkation Roll number | 13/33/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Gunner |