| Regimental number | 3658 |
| Religion | Roman Catholic |
| Occupation | Horse Driver |
| Address | Dudley Street, Punchbowl, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Peter Fitzpatrick, Dudley Street, Punchbowl, Sydney, New South Wales |
| Enlistment date | 21 May 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 23 December 1918 |