| Regimental number | 1362 |
| Place of birth | Wallsend On Tyne England |
| Religion | Protestant |
| Occupation | Moulder |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mrs E M Sample, 34 Eln Street, Hifburn on Tyne Durham, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A50 Itonus on |
| Regimental number from Nominal Roll | R1362 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Died of wounds |
| Place of burial | Lijssenthoek Military Cemetery (Plot XXI, Row C, Grave No. 21), Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 60 |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
