| Regimental number | 1058 |
| Place of birth | Gympie Queensland |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Margaret Kelly, 1426 Balfour Street, Kalgoorlie, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps, Company 3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |