| Regimental number | 3393 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Jetty View, Manly, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, M A Kelly, 43 Keswick Road, Blackpool Lancashire, England |
| Enlistment date | 12 August 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Seang Bee on 21 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |