| Regimental number | 5030 |
| Place of birth | Sunderland England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 233 Royal Street, East Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss Annie Hodgson, Upwich Vale Hoem, Eastbourne, England |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 9 December 1918 |