| Regimental number | 105 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Carroll, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Ellen Kelly, Carroll, New South Wales |
| Enlistment date | 15 December 1915 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, A Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 12 May 1918 |