| Regimental number | 1430 |
| Place of birth | Wyalong New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Park Street, West Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs J Sam, Park Street, West Wyalong, New South Wales |
| Enlistment date | 20 November 1914 |
| 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 11 February 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Effective abroad (still overseas) |
| Family/military connections | Brother: 1431 Pte James Francis SAM, 4th Bn, returned to Australia, 25 January 1919. |