| Regimental number | 2303 |
| Place of birth | Bristol England |
| Religion | Church of England |
| Occupation | Engine cleaner |
| Address | c/o Mrs H Rivers, Elizabeth Street, Wallaroo, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Rivers, Elizabeth Street, Wallaroo, South Australia |
| Enlistment date | 28 November 1914 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 5 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A59 Botanist on 1 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 28 February 1919 |
