| Regimental number | 950 |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | 95 Dyer Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 48 |
| Next of kin | Brother, M H Kelly, Southern Cross, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 4 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
