| Regimental number | 3622 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Mary Donovan, Rhy Villa, Cairo Street, Coogee, New South Wales |
| Enlistment date | 2 July 1917 |
| Date of enlistment from Nominal Roll | 15 June 1917 |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/71/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 10 December 1918 |