| Regimental number | 2102 |
| Place of birth | Mirboo Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Gayndah, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Catherine Kelly, Reids Creek, Gayndah, Queensland |
| Enlistment date | 19 May 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Trench Mortar Battery |
| Fate | Returned to Australia 10 May 1919 |