| Regimental number | 25379 |
| Place of birth | Huncot England |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Maida Vale, via Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Sampson, Maida Vale, via Guildford, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 3, Reinforcement 1 |
| AWM Embarkation Roll number | 25/91/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah 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
