| Regimental number | 19726 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Corryton Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, John F Kelly, Hindmarsh Place, Hindmarsh, South Australia |
| Previous military service | 31st Australian Army Medical Corps |
| Enlistment date | 28 November 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/15/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Divisional Signal Company |
| Fate | Returned to Australia 6 September 1919 |
