| Regimental number | 6374 |
| Place of birth | Maitland New South Wales |
| Religion | Roman Catholic |
| Occupation | Bookmaker |
| Address | 20 Reeves Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Bridget Kelly, 10 Walker Street, Redfern, New South Wales |
| Enlistment date | 18 October 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Effective abroad (still overseas) |
