| Regimental number | 22249 |
| Religion | Church of England |
| Occupation | Civil engineer |
| Address | 38 Chelmsford Road, North Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E G Kelly, c/o Mrs Ferris, 'The Laurels,' Eastern Road, Turramurra, New South Wales |
| Enlistment date | 20 November 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 14th Field Company Engineers |
| Fate | Returned to Australia 21 June 1919 |
