| Regimental number | 6031 |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Plasterer |
| Address | 114 Roseneath Street, Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Mr R Kelly, 114 Roseneath Street, Clifton Hill, Victoria |
| Enlistment date | 4 March 1916 |
| Date of enlistment from Nominal Roll | 29 April 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia 9 July 1919 |
