| Regimental number | 66736 |
| Place of birth | Narrabri New South Wales |
| Religion | Roman Catholic |
| Occupation | Horse trainer |
| Address | Manilla, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E M Kelly, Water-course Hotel, Moree, New South Wales |
| Enlistment date | 10 May 1916 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
