| Regimental number | 7612 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M A Pritchard c/o Mr Hoser, Lower Brunswick Street, Brisbane, Queensland |
| Enlistment date | 29 January 1917 |
| Date of enlistment from Nominal Roll | 29 January 1918 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/32/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Effective abroad (still overseas) |
