| Regimental number | 209 |
| Place of birth | Alexandra Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 94 Beulah Road, Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Mabel E sampson, 94 Beulah Road, Norwood, South Australia |
| Enlistment date | 11 February 1915 |
| Date of enlistment from Nominal Roll | 15 February 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, A Company |
| AWM Embarkation Roll number | 23/44/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 31 May 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 8 May 1916 |
