| Regimental number | 6813 |
| Place of birth | Wellington New South Wales |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Nowra, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Georgina Provins, 350 Illawarra Road, Marrickville, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |