| Regimental number | 2159 |
| Place of birth | Isle Of Wight England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 200 off Brown Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Ada Sampson, 200 Brown Street, East Perth, Western Australia |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Military District 4 |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board TRANSPORT A7 Medic on 20 October 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st AM CLM |
| Fate | Returned to Australia 12 April 1916 |
