| Regimental number | 775 |
| Place of birth | Castlemaine, Victoria |
| Religion | Presbyterian |
| Occupation | Engineer |
| Address | 1 Studley Park Road, Kew, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, H Chivers, Castlemaine, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | 2nd Squadron, 1st Reinforcement, Australian Flying Corps |
| AWM Embarkation Roll number | 8/5/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
