| Regimental number | 2811 |
| Place of birth | Bothwell, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Marquis Street, Gunnedah, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Jessie Rose Chivers, PO, Gunnedah, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mongolia on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
