| Regimental number | 2351 |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Arran Terrace, York, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A M Kelly, Muchea, Midland Railay, Western Australia |
| Enlistment date | 12 August 1915 |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Reinforcement 11 |
| AWM Embarkation Roll number | 14/22/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |