| Regimental number | 5 |
| Place of birth | Yarrowanga Vic |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Taree, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs A I House, Cundletown via Taree, Manning River, New South Wales |
| Enlistment date | 11 November 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Machine Gun Squadron, March 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Squadron |
| Fate | Returned to Australia 15 May 1919 |
| Miscellaneous details (Nominal Roll) | *Given name George Clarence |