| Regimental number | 893 |
| Place of birth | Daylesford Victoria |
| Religion | Methodist |
| Occupation | Cook |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Sampson, 167 Curzon strect, North Melbourne, Victoria |
| Enlistment date | 12 February 1915 |
| Date of enlistment from Nominal Roll | 15 February 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, D Company |
| AWM Embarkation Roll number | 23/39/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 9 December 1918 |