| Regimental number | 555 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Charleville, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Mary Ann Fagan, 20 Charlotte Street, Bathurst, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, C Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
