| Regimental number | 3766 |
| Place of birth | Dapto New South Wales |
| Religion | Roman Catholic |
| Occupation | Riggar's labourer |
| Address | New Dapto Road, Garden Hill, Wollongong, New South Wales |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs. M. Kelly, New Dapto Road, Garden Hill, Wollongong, Sydney, New South Wales |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 19 April 1919 |
