| Regimental number | 3615 |
| Place of birth | Tamworth New South Wales |
| Religion | Roman Catholic |
| Occupation | Storeman |
| Address | 62 Westmoreland Street, Forrest Lodge, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Annie Kelly, 62 Westmoreland Street, Forrest Lodge, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 32nd Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia |
| Other details |
War service: Middle East Medals: British War Medal, Victory Medal |