| Regimental number | 4491 |
| Religion | Presbyterian |
| Occupation | Hatter |
| Address | PO, Chelsea, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Fitzsimmons, PO, Chelsea, Victoria |
| Enlistment date | 16 October 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
