| Regimental number | 3470 |
| Place of birth | Carlton, Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, M Fovell, 23 Princes Street, Carlton, Victoria |
| Enlistment date | 2 August 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Killed in Action 4 October 1917 |
| Miscellaneous details | True name: Samuel MOULTON |