| Regimental number | 1221 |
| Place of birth | Hobart Tasmania |
| Religion | Protestant |
| Occupation | Clerk |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Lily Maude Kelly, Arodston, Lindisfarne, Hobart, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Corporal |
| Unit name | 12th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
