| Regimental number | 3615 |
| Place of birth | Inverell New South Wales |
| Religion | Roman Catholic |
| Occupation | Horse driver |
| Address | Longreach, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, Thomas Kelly, PO, Rowena, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |