| Religion | Church of England |
| Occupation | ... |
| Address | 216 Darling Street, Balmain, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, A M Kellick, 216 Darling Street, Balmain, New South Wales |
| Enlistment date | 19 October 1914 |
| Rank on enlistment | Lieutenant |
| Unit name | 13th Battalion, D Company |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on 22 December 1914 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 17 March 1916 |
