| Regimental number | 1578 |
| Place of birth | Port Douglas Queensland |
| Religion | Roman Catholic |
| Occupation | Storeman |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Michael David Kelly, Union Street, Hyde Park, Townsville, Queensland |
| Enlistment date | 23 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 28 June 1919 |