| Regimental number | 1196 |
| Place of birth | Parkside, South Australia |
| Religion | Methodist |
| Occupation | Painter |
| Address | Mill Street, Dulwich, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs. Sabrina Millicent May Sampson, Mill Street, Dulwich, South Australia |
| Enlistment date | 18 January 1915 |
| Date of enlistment from Nominal Roll | 15 January 1915 |
| Place of enlistment | Oaklands, South Australia |
| Rank on enlistment | Acting Corporal |
| Unit name | 3rd Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT Morea on 26 August 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |
| Miscellaneous details | Wife's given name incorrectly entered on Embarkation Roll as Selina. |
