| Regimental number | 4492 |
| Place of birth | Richmond Victoria |
| Religion | Roman Catholic |
| Occupation | Bottle blower |
| Address | 15 Ross Street, Elsternwick, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, M Fagan, 15 Ross Street, Elsternwick, Victoria |
| Enlistment date | 20 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 12 May 1919 |
