| Place of birth | Kyabram Victoria |
| Religion | Church of England |
| Occupation | Nurse |
| Address | Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs M A Prichard, 'Greenvale', Glenrowan, Victoria |
| Enlistment date | 18 May 1915 |
| Rank on enlistment | Sister |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
