| Regimental number | 2134 |
| Religion | Roman Catholic |
| Occupation | Ironworker |
| Address | Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | ..., Mrs K Donnelly, 148 Esplanade, Port Melbourne, Victoria |
| Enlistment date | 21 January 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 17 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |