| Regimental number | 6372 |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Brother, A Sams, Lancaster Cross Street, Waverley, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
