| Regimental number | 62828 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | West Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, H F Kelly, Neuarpur, Victoria |
| Previous military service | 3rd Battalion 11th Infantry |
| Enlistment date | 7 May 1918 |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Boonah on 29 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
