| Regimental number | 4467 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | 128 Paddington Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs E Carroll, 128 Paddington Street, Paddington, New South Wales |
| Enlistment date | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 4 May 1917 |
