| Regimental number | 474 |
| Place of birth | Worcester England |
| Religion | Church of England |
| Occupation | Horse dealer |
| Address | c/o Mrs annie Prowose, Lilydale Street, Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Maidment, 41 Moir Street, Milton Road, Leicester, England |
| Enlistment date | 15 February 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 13 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |