| Regimental number | 4540 |
| Place of birth | Douglas Isle of Man |
| Religion | Church of England |
| Occupation | Caterer and storekeeper |
| Address | More Street, Balymore Estate Kelvin Grove, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M Kelly, More Street, Balymore Estate Kelvin Grove, Brisbane, Queensland |
| Enlistment date | 19 August 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Warrant Officer |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 10 April 1919 |
