| Regimental number | 20917 |
| Religion | Roman Catholic |
| Occupation | Lighthouse keeper |
| Address | Doomben, Queensland |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs D I Kelly, c/o Mrs White, Doomben, Queensland |
| Enlistment date | 20 June 1918 |
| Rank on enlistment | Private |
| Unit name | No 6 Section, Sea Transport Staff |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | c Tspt |
| Fate | Effective abroad (still overseas) |