| Regimental number | 6767 |
| Place of birth | Seymour Victoria |
| Religion | Roman Catholic |
| Occupation | Printer |
| Address | Knight Street, Shepparton, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs. M. Fitzpatrick, Knight Street, Shepparton, Victoria |
| Enlistment date | 27 June 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 4 July 1919 |