| Regimental number | 62 |
| Place of birth | Oakleigh, Victoria |
| Religion | Roman Catholic |
| Occupation | Grocer |
| Address | Eggleston, Dandenong Road, Oakleigh, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M J Fatzens, Eggleston, Dandenong Road, Oakleigh, Victoria |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Sapper |
| Unit name | 2nd Field Company Engineers |
| AWM Embarkation Roll number | 14/21/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |
| Rank from Nominal Roll | Company Quartermaster Sergeant |
| Unit from Nominal Roll | 2nd Field Company Engineers |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 110 Date: |