| Regimental number | 417 |
| Religion | Roman Catholic |
| Occupation | Cordialmaker |
| Address | Newrybar, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A C Kelly, Newrybar, New South Wales |
| Enlistment date | 5 February 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion B Company |
| AWM Embarkation Roll number | 23/42/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on 29 June 1915 |
| Regimental number from Nominal Roll | 4819 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 12 May 1919 |
