| Regimental number | 54696 |
| Religion | Church of England |
| Occupation | Cook |
| Address | Granville, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs C E Kelly, Lewis Street, Granville, New South Wales |
| Enlistment date | 8 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 8 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 9 December 1918 |
