| Regimental number | 1573 |
| Religion | Roman Catholic |
| Occupation | Shearer |
| Address | c/o M A Heron, 187 Union Road, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M A Kelly, Poona Linda Crescent, Hawthorn, Melbourne, Victoria |
| Enlistment date | 23 December 1914 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/31/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
