| Regimental number | R646 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Beryl Street, North Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs. Elizabeth Ellen Carroll, Beryl Street, North Broken Hill, New South Wales |
| Enlistment date | 3 December 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/14/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 13 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 1 January 1919 |
