| Regimental number | 175 |
| Place of birth | Stansbury, South Australia |
| School | Edithburgh Public School, South Australia |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Edithburg, Yp, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Henry Sampson, same address |
| Previous military service | Served in the Compulsory Training Scheme. |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, A Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Other details from Roll of Honour Circular | He was a good clean living boy. (Father) |
| Fate | Killed in Action |
| Miscellaneous details (Nominal Roll) | *Surname spelt SAMPSON |
| Age at death | 24 |
| Age at death from cemetery records | 24 |
| Place of burial | Bronfay Farm Military Cemetery (Plot II, Row G, Grave No. 51), Bray-Sur-Somme, France |
| Panel number, Roll of Honour, Australian War Memorial | 176 |
| Miscellaneous information from cemetery records | Parents: Henry and Annie SAMPSON, Edithburgh, York Peninsula, South Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |