| Regimental number | 19768 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Railway clerk |
| Address | Gosnells, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Alice Eivers, Albany Road, Gosnells, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 4, Reinforcement 16 |
| AWM Embarkation Roll number | 22/14/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
