| Regimental number | 95 |
| Place of birth | West Maitland New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 29 Selwyn Street, Moore Park, Sydney |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs Fagan, 29 Selwyn Street, Moore Park, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, A Company |
| AWM Embarkation Roll number | 23/42/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |