| Regimental number | 1803 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 234 Barkly Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, J J Sampson, 234 Barkly Street, East Brunswick, Victoria |
| Enlistment date | 18 November 1914 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/25/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 14 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 13 February 1917 |
| Date of death | 24 October 1951 |
| Place of burial | Fawkner Cemetery |
