| Regimental number | 5390 |
| Place of birth | Newcastle-On-Tyle England |
| Religion | Church of England |
| Occupation | Horticulturist |
| Address | Morpuna Avenue, Irymple, Mildura, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M Kelly, Morpuna Avenue, Irymple Mildura, Victoria |
| Enlistment date | 13 August 1915 |
| Date of enlistment from Nominal Roll | 11 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Regimental number from Nominal Roll | 3390 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 8 November 1918 |
