| Regimental number | 1006 |
| Place of birth | Singleton New South Wales |
| Religion | Church of England |
| Occupation | Wireless operator |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Rachel Kelly, Elsmere, Gordon Road, Chatswood, New South Wales |
| Enlistment date | 23 October 1915 |
| Rank on enlistment | SIG SGT |
| Unit name | 42nd Battalion, Headquarters |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia 8 September 1919 |
