| Regimental number | 2849 |
| Place of birth | Shaftesbury England |
| Other Names | Christostom Samuel |
| Religion | Church of England |
| Occupation | Overseer |
| Address | Ashmore, near Shaftesbury, Wiltshire, England |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Uncle, C P Stainer, P O Ashmore, near Shaftesbury, Wiltshire, England |
| Enlistment date | 18 February 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Field Ambulance |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 31 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Motor Transport Company |
| Fate | Returned to Australia 10 May 1917 |
| Date of death | 1 September 1962 |
| Place of burial | Mt Thompson Crematorium |
