| Regimental number | 317 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Echuca, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | James S Kelly, Echuca, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/18/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A34 Persic on |
| Rank from Nominal Roll | Private |