| Regimental number | 2173 |
| Place of birth | Port Adelaide South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Opp Bowers Terrace, Dockville, Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Kelly, Opp Bowers Terrace, Dockville, Port Adelaide, South Australia |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 2 January 1919 |
