| Regimental number | 3490 |
| Place of birth | Mooroopna Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Mooroopna, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Rose Kelly, Mooroopna PO, Mooroopna, Victoria |
| Enlistment date | 5 March 1917 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 22 July 1919 |
| Date of death | 28 July 1974 |
| Place of burial | Springvale Cemetery |
