| Regimental number | 4148 |
| Place of birth | Riverton South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Hughs Street, Woodville, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Rose Kelly, Hughs Street, Woodville, South Australia |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 24 December 1918 |
