| Regimental number | 4614 |
| Place of birth | Oatlands Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | York Plains, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Mr M Smith, York Plains, Tasmania |
| Enlistment date | 16 November 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Regimental number from Nominal Roll | 4614A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division TM Battery |
| Fate | Returned to Australia 12 June 1919 |
| Miscellaneous details (Nominal Roll) | *Given name Henry Norman |