| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | Glenferrie, Victoria |
| Marital status | Single |
| Next of kin | Father, Mr Fitzpatrick, Heyfield, Victoria |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |