| Regimental number | 2821 |
| Place of birth | North Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Casemaker |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, P Fitzsimmons, 74 Tope Street, South Melbourne, Victoria |
| Enlistment date | 1 July 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 17 October 1916 |
