| Regimental number | 2099 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Welshpool, South Gippsland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, C Prichard, Welshpool, South Gippsland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 3rd Light Horse Field Ambulance, 4th Reinforcement |
| AWM Embarkation Roll number | 26/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
