| Regimental number | 6078 |
| Place of birth | Perth Western Australia |
| Religion | Roman Catholic |
| Occupation | Trucker |
| Address | Wittenoom Street, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Catherine Fitzpatrick, Victoria Avenue, North Fremantle, Western Australia |
| Enlistment date | 18 July 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 21 June 1919 |