| Regimental number | 1774 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 23 Station Grove, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Bridget Fitzpatrick, 23 Station Grove, Northcote, Victoria |
| Enlistment date | 22 November 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Light Horse Regiment |
| Fate | Returned to Australia 18 January 1919 |