| Regimental number | 5977 |
| Place of birth | Leomer, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Largs Bay, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs W Carroll, Largs Bay, South Australia |
| Enlistment date | 28 July 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Depot Unit of Supply |
| Fate | Returned to Australia 2 June 1919 |
