
| Regimental number | 6581 |
| Place of birth | Johnsburg South Australia |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Orroroo, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Brother, E T Sampson, Wynfleet via Orroroo, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on |
| Date of death | |
| Place of burial | Mont Huon Military Cemetery (Plot III, Row G, Grave No. 1A), Le Treport, France |
| Panel number, Roll of Honour, Australian War Memorial | 60 |
| Miscellaneous information from cemetery records | Parents: Richard and Ellen SAMPSON. Native of Johnburg, South Australia |