| Regimental number | 9712 |
| Place of birth | Bowral New South Wales |
| Religion | Methodist |
| Occupation | School teacher |
| Address | Bowral, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, W J Dive, 'Kentville', Harrison Street, Bowral, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | MED26.98.1DERM.R3 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia |