| Regimental number | 4475 |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Kelly, 84 Harold Street, Middle Park, Victoria |
| Enlistment date | 29 September 1915 |
| Date of enlistment from Nominal Roll | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Regimental number from Nominal Roll | 5475 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 13 April 1919 |
