| Regimental number | 6126 |
| Place of birth | Bendigo Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Flight Street, Eaglehawk, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs H Sampson, Flight Street, Eaglehawk, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Burwood Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
