| Regimental number | 4807 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | General Post Office, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs J Kelly, Ross, British Columbia, Canada |
| Enlistment date | 13 November 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Effective abroad (still overseas) |