| Regimental number | 4211 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 21 Watkins Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Fitzgerald, 21 Watkins Street, North Fitzroy, Victoria |
| Enlistment date | 18 September 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 8 May 1919 |
