| Regimental number | 59761 |
| Place of birth | Wolumla New South Wales |
| Religion | Roman Catholic |
| Occupation | Farm hand |
| Address | Bega, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs J Kelly, Parker Street, Bega, New South Wales |
| Previous military service | 43rd Infantry |
| Enlistment date | 28 May 1918 |
| Date of enlistment from Nominal Roll | 27 May 1918 |
| Rank on enlistment | Private |
| Unit name | 14th (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on 30 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Depot Unit of Supply |
| Fate | Returned to Australia 22 August 1919 |
