| Regimental number | 6146 |
| Place of birth | Kiewa Victoria |
| Religion | Roman Catholic |
| Occupation | Sleeper heweer |
| Address | 19 Mile Siding, Jarrahwood, Mannup Line, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Margaret Kelly, 19 Mile Siding, Jarrahwood, Mannup Line, Western Australia |
| Enlistment date | 10 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | 4th Field Company Engineers, Reinforcement 3 |
| AWM Embarkation Roll number | 14/23/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 3 September 1919 |
