| Regimental number | 33090 |
| Place of birth | Creswick Victoria |
| Religion | Church of England |
| Occupation | Law clerk |
| Address | 39 Smith Street, Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A V Provan, 'Argyle', Russell Street, Strathfield, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, February 1917 Reinforcements |
| AWM Embarkation Roll number | 13/128/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
