| Regimental number | 2697 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | 125 Holterman Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, A M Kelly, 125 Holterman Street, North Sydney, New South Wales |
| Enlistment date | 12 August 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 25 August 1917 |
