| Regimental number | 3054 |
| Place of birth | Beechworth, Victoria |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. C. Carroll, Dingle Road, Beechworth, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Mounted Division Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
