| Regimental number | 7058 |
| Place of birth | Bethnal Green England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, H Fitzsimmonds, 10 Harold Street, Green Street, Bethanl Green, Ec, London, England |
| Enlistment date | 5 October 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| 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 | 49th Battalion |
| Fate | Returned to Australia 3 March 1919 |
