| Regimental number | 1087 |
| Place of birth | Gloucester England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 154 West Street, Zedminster, Bristol, England |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Ellen Dodge, 154 West Street, Zedminster, Bristol, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Z2ATMB |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 9 Date: |