| Regimental number | 4321 |
| Place of birth | North Carlton Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | 21 Miller Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr R Tivey, 21 Miller Street, North Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
| Medals |
Croix de Guerre (Belgium) Source: 'Commonwealth Gazette' No. 185 Date: |
| Other details |
War service: Egypt, Western Front Medals: Croix de Guerre, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Ararat Cemetery, Victoria |
