| Regimental number | 3997 |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | Mullumbimby, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Jas MacDonald, Mullumbimby, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on |
| Fate | No details of fate entered on Nominal Roll |