| Regimental number | 2290 |
| Place of birth | Clare South Australia |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Henrietta Kelly, Clare, South Australia |
| Enlistment date | 28 April 1916 |
| Rank on enlistment | Private |
| Unit name | 48th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/65/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 21 July 1917 |