| Regimental number | 9577 |
| Place of birth | Malvern South Australia |
| Religion | Methodist |
| Occupation | Surveyor |
| Address | Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Elizabeth Agnes Melbourne, Hastings Street, Glenelg, South Australia |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Corporal |
| Unit name | 11th Field Company Engineers, Section 2 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia 9 March 1919 |
| Miscellaneous details (Nominal Roll) | *Noted Henry George Sydney NR |
