| Regimental number | 17230 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Bookkeeper |
| Address | 10 Bogan Street, Summer Hill, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A B Proven, 31 May Street, St Peters, Sydney, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 2, Reinforcement 6 |
| AWM Embarkation Roll number | 25/90/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 11 May 1919 |
