| Regimental number | 104 |
| Place of birth | Carroll New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Carroll, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Amy Florence Kelly, Carroll, New South Wales |
| Enlistment date | 15 December 1915 |
| Date of enlistment from Nominal Roll | 21 December 1915 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, A Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 31 July 1918 |
