| Regimental number | 15043 |
| Place of birth | Franklin Tasmania |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cambridge, Tasmania |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, R Fitzpatrick, Cambridge, Tasmania |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 15, Reinforcement 2 |
| AWM Embarkation Roll number | 13/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 12 June 1919 |