| Regimental number | 363 |
| Religion | Church of England |
| Occupation | Engine cleaner |
| Address | Torrens Creek, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Hannah E Kelby, Torrens Creek, Queensland |
| Enlistment date | 11 October 1915 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, B Company |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |