| Regimental number | 38005 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Groom |
| Address | 66 Ross Street, North Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J Fagan, 66 Ross Street, North Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 31 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Effective abroad (still overseas) |
| Date of death | |
| Place of burial | Cheltenham Memorial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
