| Regimental number | 5084 |
| Religion | Presbyterian |
| Occupation | Miner |
| Address | Mount Morgan, Queensland |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs O A Kelly, Patterson Street, Mount Morgan, Queensland |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Sapper |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia 31 January 1918 |
