| Regimental number | 5068 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 33 Mills Street, Pyrmont, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs J Donnelly, 33 Mills Street, Pyrmont, New South Wales |
| Enlistment date | 21 September 1915 |
| Date of enlistment from Nominal Roll | 5 October 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 10 April 1919 |