| Regimental number | 1190 |
| Place of birth | Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Ivy Street, Ottoway, Rosewater, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Charlotte Mary Kelly, Ivy Street, Ottoway, Rosewater, South Australia |
| Enlistment date | 7 March 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, D Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Returned to Australia 21 October 1917 |
