| Regimental number | 72 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Letter press machinist |
| Address | 200 Park Street, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs C M Kelly, 200 Park Street, Subiaco, Western Australia |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, C Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ac Field Ambulance |
| Fate | Returned to Australia 15 November 1918 |
