| Regimental number | 1465 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Exhibition street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Sampson, 25 Lorne Street, Durban, Natal, South Africa |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/24/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
