| Regimental number | 8410 |
| Place of birth | Port Augusta South Australia |
| Religion | Church of England |
| Occupation | Student |
| Address | Port Augusta, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Mary Pryor, Port Augusta, South Australia |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 13 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 21 July 1916 |
