| Regimental number | 1890 |
| Place of birth | Adaminaby New South Wales |
| Religion | Presbyterian |
| Occupation | Boundary rider |
| Address | Forest Home, Adaminaby, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, James Kelly, Forest Home, Adaminaby, New South Wales |
| Enlistment date | 23 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 11 May 1919 |
