| Regimental number | 2199 |
| Religion | Roman Catholic |
| Occupation | Horse trainer |
| Address | Crown Street, South Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Mary Elizabeth Kelly, Crown Street, South Lismore, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Regimental number from Nominal Roll | 2199A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 16 July 1917 |
