| Regimental number | 9/2107 |
| Occupation | Blacksmith |
| Next of kin | Mother, Mrs G Provan, Naseby, Otago |
| Rank on embarkation | Farrier Sergeant |
| Unit name | New Zealand Expeditionary Force, 10th Reinforcements, Otago Mounted Rifles, D Squadron |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 26, p. 5 |