| Regimental number | 5124 |
| Place of birth | Warrnambool Victoria |
| Religion | Roman Catholic |
| Occupation | Mill hand |
| Address | c/o Port & Co., Pindalup, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr H Kelleher, Lion Mill, Western Australia |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
