| Regimental number | 59315 |
| Place of birth | Port Germein South Australia |
| Religion | Roman Catholic |
| Occupation | Linotype operator |
| Address | Cootamundra, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs L M Fitzpatrick, 11 Chapman Street, Summer Hill, New South Wales |
| Enlistment date | 28 December 1917 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
