| Regimental number | 6791 |
| Place of birth | Malvern, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Carroll, 75 Barkley Avenue, Malvern, Victoria |
| Enlistment date | 11 December 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Working Party |
| Fate | Returned to Australia 17 March 1919 |