| Regimental number | 3170 |
| Place of birth | Adelaide, South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs. Edith T. Blanch Donovan, 14 Princess Street, Adelaide, South Australia |
| Enlistment date | 14 November 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Karmala on 8 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 12 July 1918 |
