| Regimental number | 4795 |
| Place of birth | Balmain New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Davistown, Woy Woy, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, H A Hagan, Davistown, Woy Woy, New South Wales |
| Date of enlistment from Nominal Roll | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 10 July 1916 |
| Miscellaneous details (Nominal Roll) | *Broadford spelt Bradford |
