| Regimental number | 25566 |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Bogan Road, via Parkes, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J G Sampson, Bogan Road, via Parkes, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 7, Reinforcement 2 |
| AWM Embarkation Roll number | 13/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
