| Regimental number | 1440 |
| Place of birth | Fremantle Western Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Fitzsimmons, Duoro Place, West Perth, Western Australia |
| Enlistment date | 30 October 1914 |
| Date of enlistment from Nominal Roll | 9 September 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on 22 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 27 August 1917 |
