| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W H Kelly, Central Club Hotel, Swan Street, Richmond, Victoria |
| Enlistment date | 5 April 1918 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 12 September 1918 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Miscellaneous details (Nominal Roll) | A 'D' is recorded in the fate column. Not sure if he died or was EA |