| Regimental number | 753 |
| Place of birth | Footscray, Victoria |
| Religion | Roman Catholic |
| Occupation | Block recorder |
| Address | 53 Schutt Street, Newport, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, M Donnelly, 53 Schutt Street, Newport, Victoria |
| Enlistment date | 2 April 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 2, Reinforcement 14 |
| AWM Embarkation Roll number | 24/7/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
