| Regimental number | 1687 |
| Place of birth | Fremantle, Western Australia |
| Religion | Church of England |
| Occupation | Cook |
| Address | 103 Hampton Road, Beaconsfield, Western Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, Joseph Chivers, 103 Hampton Road, Beaconsfield, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Recommendations (Medals and Awards) |
Meritorious Service Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 67 Date: |
| Other details | Medals: Meritorious Service Medal, 1914-15 Star, British War Merdal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
