| Regimental number | 2291 |
| Place of birth | Launceston Tasmania |
| Religion | Presbyterian |
| Occupation | Blacksmith |
| Address | Burrenewang Park, Elmore, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Brother, Mr H Samson, Fairfield, Victoria |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 20 January 1916 |
