| Regimental number | 1601 |
| Place of birth | Everton England |
| Religion | Church of England |
| Occupation | Caterer |
| Address | Wagga, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs N E Fitzsimmons, Wagga, New South Wales |
| Enlistment date | 9 October 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 4 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 9 December 1918 |