| Regimental number | 51358 |
| Place of birth | North Carlton Victoria |
| Religion | Roman Catholic |
| Occupation | Storeman |
| Address | 14 Birdsall Place, North Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A Fagan, 14 Birdsall Place, North Carlton, Victoria |
| Enlistment date | 21 September 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 1 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 23 July 1919 |
