| Regimental number | 28583 |
| Religion | Church of England |
| Occupation | Wool buyer |
| Address | Hyde Park, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, G A Prevost, Victoria Avenue, Hyde Park, South Australia |
| Previous military service | 78th Infantry |
| Enlistment date | 28 April 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Reinforcement 7 |
| AWM Embarkation Roll number | 13/133/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
