| Regimental number | 2662 |
| Place of birth | Koroit, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Kirkstall, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Andrew Kelly, Kirkstall near Koroit, Victoria |
| Enlistment date | 29 March 1915 |
| Date of enlistment from Nominal Roll | 2 April 1915 |
| Place of enlistment | Hamilton, Victoria |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Makarini on 15 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 5 March 1919 |
