| Regimental number | 69958 |
| Occupation | Plumber |
| Next of kin | Father, J W Kelly, 52 Henley Street, Westport |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 36th Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Willochra on |
| Sources | Nominal Rolls Vol. 4: Roll 81, p. 6 |