| Regimental number | 16892 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Alice Mary Hodgson, Hospital, Kenmure, New South Wales |
| Enlistment date | 2 May 1916 |
| Rank on enlistment | Sapper |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 3 May 1919 |
