| Regimental number | 3121 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Shearer |
| Address | Deniliquin, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Sarah Kelly, 22 Melville Street, Hobart, Tasmania |
| Enlistment date | 13 October 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 7 |
| AWM Embarkation Roll number | 14/14/4 |
| 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 | 2nd Pioneer Battalion |
| Fate | Returned to Australia 12 May 1918 |