| Regimental number | 681 |
| Place of birth | Warrnambool Victoria |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Naringal PO, Naringal, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Samuel John Membery, Naringal PO, Naringal, Victoria |
| Enlistment date | 31 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 12 |
| AWM Embarkation Roll number | 24/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 25 January 1919 |
