| Regimental number | 17789 |
| Place of birth | Portsmouth England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Quorn, South Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Martha Prior, 21 Radnor Street, St James Road, Southsea, England |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 13th Field Company Engineers |
| Fate | Returned to Australia 9 March 1919 |
