| Regimental number | 682 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | 30 Regent Street, Ascot Vale, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Margaret Samphier, 533 Harris Street, Ultimo, Sydney, New South Wales |
| Enlistment date | 30 March 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 10, Reinforcement 11 |
| AWM Embarkation Roll number | 24/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia 5 April 1919 |
