| Regimental number | 5478 |
| Place of birth | Berridale New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | PO, Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, W M Kelly, Summer Hill, Berridale, New South Wales |
| Enlistment date | 30 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 20 December 1918 |
| Date of death | 15 April 1969 |
| Place of burial | Berridale Cemetery |