| Regimental number | 30928 |
| Religion | Presbyterian |
| Occupation | School teacher |
| Address | Nundle, Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Kelly, Nundle, Tamworth, New South Wales |
| Enlistment date | 2 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 4 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 24 January 1919 |