| Regimental number | 4395 |
| Religion | Roman Catholic |
| Occupation | Mill hand |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Fagan, 120 King Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |