| Regimental number | 1700 |
| Place of birth | Daylesford Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Benalla, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Emily Sampson, Benalla, Victoria |
| Enlistment date | 12 February 1916 |
| Date of enlistment from Nominal Roll | 23 February 1916 |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/54/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 27 August 1917 |
