| Regimental number | 169 |
| Place of birth | Clunes, Victoria |
| Religion | Presbyterian |
| Occupation | Fireman |
| Address | Harper Street, Midland Junction, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Height | 5' 7" |
| Weight | 155 lbs |
| Next of kin | Wife, Mrs. M. Sampson, Harper Street, Midland Junction, Western Australia |
| Previous military service | 1st Reg Vic Rifles 10 yrs (Resigned) Signalling Corps |
| Enlistment date | |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Sapper |
| Unit name | Signal Company Engineers Reinforcement 1 |
| AWM Embarkation Roll number | 22/11/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A30 Borda on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Parents: William and Ellen SAMPSON |
| Discharge date | |
| Other details |
Commenced return to Australia on board HT 'Durham Castle', 10 March 1918; disembarked Perth Fremantle, 4 May 1918; discharged (medically unfit), Perth, 23 May 1918. Medals: 1914-15 Star, British War Medal, Victory Medal Death attributed to war service. |
| Date of death | |
| Age at death | 65 |
| Place of burial | Midland Junction Cemetery, Western Australia |
| Sources | NAA: B2455, SAMPSON Frederick |