| Regimental number | 4783 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Motor mechanic |
| Address | c/o Ingleburn PO, Ingleburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, H Chivers, Ingleburn PO, Ingleburn, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Macquarie Park Cemetery |