| Regimental number | 6802 |
| Place of birth | Gympie Queensland |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Kelly, 614 Leichardt Street, Valley, Brisbane, Queensland |
| Enlistment date | 12 September 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Effective abroad (still overseas) |
