| Regimental number | 5336 |
| Place of birth | Aberdare New South Wales |
| Religion | Presbyterian |
| Occupation | Assistant electrician |
| Address | Aberdare Road, Aberdare, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr C W Bivens, Aberdare Road, Aberdare, New South Wales |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 5 July 1916 |
