| Regimental number | 1970 |
| Place of birth | Broken Hill New South Wales |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs J Kelly, 88 Duigan Street, Kalgoorlie, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Railway Unit, Section 5 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 16th Light Railway Operating Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |