| Regimental number | 4791 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | South Woodburn, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, G Gollan, South Woodburn, Richmond River, New South Wales |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ABD |
| Fate | Returned to Australia 6 September 1919 |
| Miscellaneous details (Nominal Roll) | *Spelt Cyril Paush on NR |
