| Regimental number | 2167 |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Canterbury Street, St Arnaud, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Mr W J Donelly, Canterbury Street, St Arnaud, Victoria |
| Enlistment date | 3 April 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
