| Regimental number | 3373 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | PO, Kellingworth, via Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Father, P Kelly, PO, Kellingworth, via Newcastle, New South Wales |
| Enlistment date | 30 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 5 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 27 July 1917 |