| Regimental number | 6801 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Steel works employee |
| Address | Cook's Hill, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs May Fitzsimmons, 7 Tooke Street, Cook's Hill, Newcastle, New South Wales |
| Enlistment date | 18 April 1917 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 10 January 1918 |
