| Regimental number | 2964 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Llewlyn Street, Rhodes, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs. Beatrice May Regan, 19a Norton Street, Leichhardt, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A58 Kabinga on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A25 Anglo Egytian on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | b Tp Signal Sqd IMD |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
