| Regimental number | 3376 |
| Place of birth | Stafford England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Murray Bridge, South Australia |
| Marital status | Widower |
| Age at embarkation | 45 |
| Next of kin | Brother, Bateman Bagnall, William Street, Canterbury, Sydney, New South Wales |
| Enlistment date | 18 January 1917 |
| Date of enlistment from Nominal Roll | 18 January 1917 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | INF50REIN9 |
| Fate | Returned to Australia 10 September 1917 |