| Regimental number | 1392 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Baptist |
| Occupation | Butcher |
| Address | Crawford Street, Queanbeyan, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, John Henry Fitzgibbon, Barracks Flat, Queanbeyan, New South Wales |
| Enlistment date | 27 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A66 Uganda on 20 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
