| Regimental number | 1431 |
| Place of birth | Marsden New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Park Street, West Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs J Sam, Park Street, West Wyalong, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A48 Seang Bee on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
| Family/military connections | Brother: 1430 Sergeant Norman SAM, 4th Bn, effective abroad (still overseas). |
| Other details |
War service: Egypt, Gallipoli, Western Front Medals: 1914-15 Star, British War Medal, Victory Medal |