| Regimental number | 1612 |
| Place of birth | Kerang Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Macorna North, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Grandparent, Mrs Jessie Samson, Macorna North, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/31/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Regimental number from Nominal Roll | 1636 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Photo: Peter Dennis |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 52 |
| Place of burial | Kerang Cemetery, Victoria |
