| Date of birth | |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs C Vivian, 536 Parramatta Road, Petersham, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 6th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/23/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 6th Battalion |
| Promotions |
Lieutenant Unit: 6th Battalion Promotion date: |
| Fate | Returned to Australia |