| Regimental number | 5144 |
| Place of birth | Liverpool New South Wales |
| Religion | Church of England |
| Occupation | City Council employee |
| Address | 333 Harris Street, Pyrmont, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr Kelly, 333 Harris Street, Pymont, New South Wales |
| Enlistment date | 18 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 20 October 1918 |