| Regimental number | 11863 |
| Place of birth | Breadalbane Tasmania |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Manager Cornwall Coal Co., Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, C Kelly, Manager, Cornwall Coal Co., Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 3 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Promotions |
2nd Lieutenant Unit: FLY Sqn 5 Promotion date: Lieutenant Unit: FLY Promotion date: |
| Fate | Returned to Australia |