| Regimental number | 54369 |
| Occupation | Salesman |
| Next of kin | Mother, Mrs M W Kelly, 57 Moxham Avenue, Hataitai, Wellington |
| Rank on embarkation | Quartermaster Sergeant |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 11 |