| Regimental number | 1966 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | Mead Street, Peterhead, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Mary Kellett, Mead Street, Peterhead, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Sanitary Section |
| Recommendations (Medals and Awards) |
Meritorious Service Medal Consistent good work over three years active service, rendering valuable services and great devotion to duty. Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 110 Date: |