| Regimental number | 2291 |
| Place of birth | Southport England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Canning Street, Yatala, Alberton, Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Susannah Pridmore, 17 Gambling Street, Rhul, North Wales, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 1, Reinforcement 4 |
| AWM Embarkation Roll number | 26/70/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
