| Regimental number | 5080 |
| Place of birth | Warwick Queensland |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Palmeun Street, Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs A Fitzgerald, Palmeun Street, Warwick, Queensland |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 8 April 1919 |
