| Regimental number | 4220 |
| Place of birth | Bega New South Wales |
| Religion | Roman Catholic |
| Occupation | Shunter |
| Address | New Dapto Road, Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, E. Kelly, New Dapto Road, Wollongong, New South Wales |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 27 July 1917 |
| Date of death | 29 September 1949 |
| Place of burial | Woronora Cemetery |
