| Regimental number | 41 |
| Place of birth | Ipswich Queensland |
| Religion | Roman Catholic |
| Occupation | Soldier |
| Address | Liverpool, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E A Kelly, No 3 Remount Depot, Liverpool, New South Wales |
| Previous military service | AASC Perm Services |
| Enlistment date | 10 November 1917 |
| Rank on enlistment | Staff SGT MAJ (WO Class I) |
| Unit name | Australian Remount Unit India |
| AWM Embarkation Roll number | 28/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Chindwarra on 3 November 1917 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Chindwarra on 8 November 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Gracchus on 10 November 1917 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board SS Shirala on 17 November 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Waitoma on 20 November 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Mahai on 16 January 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |