| Regimental number | 1031 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Coolarook PO, Coolarook, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, James Regan, Coolarook PO, Coolarook, Victoria |
| Enlistment date | 30 July 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 10 January 1918 |