| Regimental number | 3488 |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Deloraine, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Kelly, Deloraine, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |