| Regimental number | 5279 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Trucker |
| Address | Ryan Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Hana Bagnall, Ryan Street, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
