| Regimental number | 59050 |
| Place of birth | Forbes New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Ivers, 'Wilga', Barwon Street, Forbes, New South Wales |
| Enlistment date | 11 January 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 11 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Australian Army Veterinary Corps |
| Fate | Returned to Australia 22 July 1919 |