| Regimental number | 2234 |
| Place of birth | Ballarat Victoria |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | 1 14 Napier Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs H Provis, 113 Napier Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 60th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
