| Regimental number | 2199 |
| Place of birth | Walgett New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Margaret Provians, Iron Pot Creek via Casino, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
