| Regimental number | 1768 |
| Place of birth | Moruya New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Morina, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Father, W Donnelly, 17 Perry Street, Marrickville, New South Wales |
| Enlistment date | 10 October 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 5 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 2 March 1919 |
