| Regimental number | 6830 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Gidley, Bungendore, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr H Donnelly, Bungendore, New South Wales |
| Enlistment date | 20 October 1916 |
| Date of enlistment from Nominal Roll | 19 January 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 6 February 1917 |
