| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, W E Connolly, Mosaphir House, Corrig Road, Kingstown, Co Dublin, Ireland |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on |
| Miscellaneous details (Nominal Roll) | see other |