| Regimental number | 4969 |
| Place of birth | Warrnambool Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Henna Street, Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, George Jan, Henna Street, Warrnambool, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia |
| Family/military connections | Brother: 2394 Pte Andrew JAN, 24th Bn, returned to Australia, 17 October 1916. |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Rookwood Necropolis |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
