| Regimental number | 69250 |
| Place of birth | South Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Wood carter |
| Address | c/o Mrs I C Donlen, 77 Beaconsfield Parade, Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs I C Donlen, 77 Beaconsfield Parade, Albert Park, Melbourne, Victoria |
| Enlistment date | 19 August 1918 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
