| Regimental number | 34303 |
| Place of birth | Port Lincoln South Australia |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Torrens Street, Gilberton, South Australia |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Mary J Provis, Torrens Street, Gilberton, South Australia |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, March 1917 Reinforcements |
| AWM Embarkation Roll number | 13/128/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Date of death |