| Regimental number | 2103 |
| Place of birth | Bingara New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Mrs Louisa Kelly, Peel Street, Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Louisa Kelly, Peel Street, Tamworth, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Botany Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
