| Regimental number | 17922 |
| Place of birth | Hawthorn Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A W Vivian, 68 Kinkora Road, Hawthorn, Victoria |
| Enlistment date | 2 March 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 14 December 1918 |
| Date of death | 17 September 1964 |
| Place of burial | Geelong East Cemetery |
