| Regimental number | 3040 |
| Place of birth | Maidenhead England |
| Religion | Church of England |
| Occupation | Groom |
| Address | 4 Park Road, Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs E. Fitzgibbons, 4 Park Road, Auburn, New South Wales |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Rank from Nominal Roll | Company Sergeant Major |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Effective abroad (still overseas) |
