| Regimental number | 3564 |
| Religion | Church of England |
| Occupation | Messenger |
| Address | Dunwich, Stradbroke Island, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Ethel Mary Kelly, Dunwich, Stradbroke Island, Queensland |
| Enlistment date | 28 August 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
