| Regimental number | 2629 |
| Place of birth | Culpawpaw Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 116 Wellington Parade, East Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Janet Sarah Gagan, 116 Wellington Parade, East Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A10 Karroo on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Depot Unit of Supply |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
