| Regimental number | 1033 |
| Place of birth | Gunnedah New South Wales |
| Religion | Roman Catholic |
| Occupation | Horse breaker |
| Address | Guninbere, via Carroll, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Patrick J Kelly, Carroll P O, via Guninbere, New South Wales |
| Enlistment date | 6 May 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, C Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 10 July 1916 |