
| Regimental number | 13129 |
| Religion | Roman Catholic |
| Occupation | Chemist |
| Address | East Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J C Fitzpatrick, Globe Hotel, Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A5 Omrah on |
| Miscellaneous details (Nominal Roll) | see other |