| Regimental number | 7738 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Chemist |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M A Donnelly, 99 Great Buckingham Street, Redfern, New South Wales |
| Enlistment date | 18 April 1915 |
| Rank on enlistment | Private |
| Unit name | First Australian General Hospital, Special Reinforcements |
| AWM Embarkation Roll number | 26.65.3RSSPEC |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Australian Auxiliary Hospital |
| Fate | Returned to Australia 18 October 1917 |