| Regimental number | 3345 |
| Place of birth | Lancefield Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 8 Lethbridge Street, Moonee Ponds, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Annie Fagan, 8 Lethbridge Street, Moonee Ponds, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
