| Regimental number | 3073 |
| Place of birth | Tavistock England |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Punchbowl Road, Enfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs. M A Hodge, Punchbowl Road, Enfield, New South Wales |
| Enlistment date | 28 June 1915 |
| Date of enlistment from Nominal Roll | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 8 April 1919 |
| Miscellaneous details (Nominal Roll) | *Given name Samuel John |
