| Regimental number | 2020 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | 51 Smith Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs M Sampson, 51 Smith Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Gallipoli, Western Front Medals: 1914-15 Star, British War Medal, Victory Medal |