| Regimental number | 3809 |
| Place of birth | Penshurst Victoria |
| Religion | Roman Catholic |
| Occupation | Draper |
| Address | Glenthompson, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Ann Kelly, Glenthompson, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on |