| Regimental number | 401 |
| Place of birth | Port Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Horsebreaker |
| Address | Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Jane Fitzpatrick, 38 Grey Street, South Yarra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/15/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A52 Surada on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
