| Regimental number | 19051 |
| Place of birth | Melbourne Victoria |
| Religion | Baptist |
| Occupation | Engineer |
| Address | 'Auburn', 78 Malin Street, Kew, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Thomas Fagan, 'Auburn,' 78 Malin Street, Kew, Victoria |
| Enlistment date | 2 February 1917 |
| Rank on enlistment | Sapper |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Effective abroad (still overseas) |
| Date of death | 30 September 1962 |
| Place of burial | Kew Cemetery |