| Regimental number | R1190 |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | 45 Moray Street, South melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, John Kelly, 45 Moray Street, South melbourne, Victoria |
| Enlistment date | 18 November 1916 |
| Date of enlistment from Nominal Roll | 9 June 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 24th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 6 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd A.C. Light Horse Details |
| Fate | Returned to Australia 8 January 1919 |
