| Regimental number | 4012 |
| Place of birth | Surry Hills, New South Wales |
| Religion | Roman Catholic |
| Occupation | Bottle blower |
| Address | 10 Walker Street, Redfern, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs B Kelly, 10 Walker Street, Redfern, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Killed in Action |
| Age at death from cemetery records | 22 |
| Place of burial | Hermies Hill British Cemetery (Plot III, Row D, Grave No. 16), France |
| Panel number, Roll of Honour, Australian War Memorial | 33 |
| Miscellaneous information from cemetery records | Parents: John and Bridget KELLY |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
