| Regimental number | 16178 |
| Religion | Roman Catholic |
| Occupation | Waiter |
| Address | West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Donnelly, 1 Kingston Place, West Melbourne, Victoria |
| Enlistment date | 2 September 1915 |
| Date of enlistment from Nominal Roll | 20 August 1915 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 2 June 1919 |