| Regimental number | 15070 |
| Place of birth | Beechworth Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 72 Gipps Street, East Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs E Samson, 72 Gipps Street, East Melbourne, Victoria |
| Enlistment date | 7 March 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 24, Reinforcement 2 |
| AWM Embarkation Roll number | 13/134/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia 9 December 1918 |
