| Regimental number | 62501 |
| Place of birth | Brinkworth, South Australia |
| Religion | Church of Christ |
| Occupation | Clerk |
| Address | Evandale, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A Chivell, 14 Opie Street, Evandale, South Australia |
| Previous military service | 32nd Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th South Australian Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
