| Regimental number | 2633 |
| Place of birth | Hartley Vale New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Colbrook Street, Hermitage Flat, Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Margaret Donnelly, Caldwell Street, Lithgow, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 9 February 1919 |
