| Regimental number | 68698 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Benalla, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W R Sampson, Boundary Road, Benalla, Victoria |
| Enlistment date | 25 June 1918 |
| Rank on enlistment | Private |
| Unit name | 14th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 29 December 1963 |
| Age at death | 64 |
| Place of burial | Benalla Cemetery, Victoria |
