| Regimental number | 1179 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Mrs. Emma Wheelan, 2 Little King William Street, Kent Town, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Miss Bessie Donneley, Patton Street, Broken Hill, New South Wales |
| Enlistment date | 25 January 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT Morea on 26 August 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
