| Regimental number | 29994 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 42 Bland Street, North Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs M A Sambrook, 76 Star Street, Hyde Park, London, England |
| Enlistment date | 8 May 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 120 |
| AWM Embarkation Roll number | 13/136/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 3 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 31 January 1918 |
