| Regimental number | 19178 |
| Place of birth | Onslow Western Australia |
| Religion | Roman Catholic |
| Occupation | Boundary rider |
| Address | North Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Patrick Kelly, Dulbilling, Western Australia |
| Enlistment date | 21 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 4, Reinforcement 15 |
| AWM Embarkation Roll number | 22/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |