| Regimental number | 5126 |
| Religion | Roman Catholic |
| Occupation | Wardsman |
| Address | Gray Street, Henly, near Gladesville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W.H. Kelly, Gray Street, Henly, near Gladesville, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *second given name is Randolph |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
