| Regimental number | 301 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Pingelly, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Elias Sampson Head, Pingelly, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, B Company |
| AWM Embarkation Roll number | 23/45/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 Thirty Six on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
