| Regimental number | 670 |
| Place of birth | Ballarat Victoria |
| Religion | Protestant |
| Occupation | Waiter |
| Address | 114 Napier Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Helana Provis, 114 Napier Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, D Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Carlton Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
