| Regimental number | 841 |
| Place of birth | Broken Hill New South Wales |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Mica Street, Railway Town, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs J Carroll, Mica Street, Railway Town, Broken Hill, New South Wales |
| Enlistment date | 29 August 1914 |
| Rank on enlistment | Lance Corporal |
| Unit name | 10th Battalion, B Company |
| AWM Embarkation Roll number | 23/27/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
