| Regimental number | 621 |
| Place of birth | Geelong Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 290 Coventry Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary Fitzgibbon, 290 Coventry Street, South Melbourne, Victoria |
| Enlistment date | 24 August 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, F Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A23 Suffolk on 18 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 17 September 1915 |