| Regimental number | 2380 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Painter |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Annie Chivers, Cornwall House, Newbury Berkshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
