| Regimental number | 36919 |
| Occupation | Sawmiller |
| Next of kin | Mother, Mrs J Kelly, Boscarnon Farm, St Keverne, Cornwall, England |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 75 Waitemata on |
| Final rank | Private |
| Final unit | 3rd Battalion, Canterbury Infantry Regiment |
| Fate | Died of wounds |
| Age at death from cemetery records | 26 |
| Place of burial | Trois Arbres Cemetery (Plot I, Row W, Grave No 10), Steenwerck, France |
| Miscellaneous information from cemetery records | Parents: Thomas and Jane Kelly, Trenance, St Keverne, Cornwall, England. Native of Croydon, Surrey |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 29 |