| Regimental number | 2176 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Station manager |
| Address | Gladstone, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs. Ellen Fitzsimmons, Gladstone, South Australia |
| Enlistment date | 17 November 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 16 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |