| Regimental number | 2891 |
| Religion | Roman Catholic |
| Occupation | Contractor |
| Address | Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M Kelly, 336 Rokeby Road, Subiaco, Western Australia |
| Enlistment date | 15 June 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 6 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on 30 October 1916 |
| Regimental number from Nominal Roll | 2891A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 21 March 1919 |