| Regimental number | 10375 |
| Place of birth | Talbot Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Talbot, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs S J Prowse, Talbot, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 2, Reinforcement 13 |
| AWM Embarkation Roll number | 13/30/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |