| Regimental number | 6568 |
| Place of birth | Tenterfield New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Dakhampton House, Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Kelly, c/o Mrs 0'Keeffe, Ramsay, Cambooya, Queensland |
| Enlistment date | 3 August 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Mounted Division Details |
| Fate | Returned to Australia 7 July 1919 |
